Mcclain, David

Mcclain, David was paid $63K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoMCCLAIN, DAVID
RUSSELLVILLE, KY 42276

33aNPI1790771954assigned 09/23/2005

33bProvider typeFamily Nurse Practitioner

28Total paid$63K

24GClaims2,542

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#147 of 424

Median peer was paid$19K

This provider vs. median3.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,222	$31K
2021	240	$7K
2022	475	$9K
2023	312	$7K
2024incomplete	293	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	90%	2,224	1,794	$57K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	80	74	$4K
87428		1.5%	31	26	$930.54
36415	Collection of venous blood by venipuncture	<1%	158	136	$466.45
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	30	27	$396.43
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	19	19	$209.20

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.