Mcclung, Tony

Mcclung, Tony was paid $4K by Medicaid between Dec 2020 and Aug 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoMCCLUNG, TONY
HOUSTON, TX 77004

33aNPI1841288362assigned 10/10/2005

33bProvider typeUrology Physician

28Total paid$4K

24GClaims673

24DCodes billed4

24AFirst – last monthDec 2020 – Aug 2024

Compared with peers

Next to other Urology Physician providers in Texas

Rank by total paid#19 of 49

Median peer was paid$2K

This provider vs. median2.9×

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	36	$258.38
2021	288	$2K
2022	211	$893.04
2023	106	$1K
2024incomplete	32	$25.32

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	40%	82	76	$2K
81000		21%	549	524	$927.12
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	20%	14	14	$871.41
76775		20%	28	26	$869.75

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.