Physician
Mclaughlin, James
Mclaughlin, James was paid $28K by Medicaid between Dec 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoMCLAUGHLIN, JAMES
SENECA, PA 16346
SENECA, PA 16346
33aNPI1841266574assigned 02/23/2006
33bProvider typeNeurology Physician
28Total paid$28K
24GClaims795
24DCodes billed5
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#41 of 165
Median peer was paid$5K
This provider vs. median5.1×
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 | 38 | $1K | |
| 2021 | 140 | $5K | |
| 2022 | 110 | $4K | |
| 2023 | 361 | $13K | |
| 2024incomplete | 146 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 341 | 339 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 377 | 373 | $11K |
| 95885 | 2.7% | 39 | 39 | $748.16 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 25 | 25 | $686.40 |
| 95886 | 1.9% | 13 | 13 | $533.78 |
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.