Mcdonald, James

Mcdonald, James was paid $73K by Medicaid between Oct 2020 and Oct 2023, across 6 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 30% of everything it billed.

33Billing provider infoMCDONALD, JAMES
PHILADELPHIA, PA 19140

33aNPI1811953714assigned 04/21/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$73K

24GClaims4,789

24DCodes billed6

24AFirst – last monthOct 2020 – Oct 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#47 of 592

Median peer was paid$3K

This provider vs. median23×

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
2020	434	$7K
2021	3,102	$51K
2022	929	$12K
2023	324	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	30%	2,862	1,803	$22K
93000		23%	966	929	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	514	499	$14K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16%	268	257	$12K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	9.6%	165	157	$7K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.7%	14	14	$1K

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.