Mccully, Mildred

Mccully, Mildred was paid $17K by Medicaid between Jul 2019 and Aug 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoMCCULLY, MILDRED
GAFFNEY, SC 29341

33aNPI1841345915assigned 01/25/2007

33bProvider typePediatric Nurse Practitioner

28Total paid$17K

24GClaims357

24DCodes billed9

24AFirst – last monthJul 2019 – Aug 2019

Compared with peers

Next to other Pediatric Nurse Practitioner providers in South Carolina

Rank by total paid#12 of 39

Median peer was paid$7K

This provider vs. median2.6×

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
2019	357	$17K

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	29%	86	81	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	23%	48	48	$4K
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%	32	32	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	24	24	$2K
90461		7.9%	53	53	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.1%	12	12	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	5.6%	70	70	$973.73
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	14	14	$190.00
90633		0%	18	18	$0.00

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.