Maccarthy, Justin
Maccarthy, Justin was paid $5K by Medicaid between Dec 2020 and Mar 2023, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 55% of everything it billed.
33Billing provider infoMACCARTHY, JUSTIN
CLEARFIELD, PA 16830
CLEARFIELD, PA 16830
33aNPI1881636256assigned 06/12/2006
33bProvider typeSpecialist
28Total paid$5K
24GClaims150
24DCodes billed3
24AFirst – last monthDec 2020 – Mar 2023
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#368 of 543
Median peer was paid$16K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 13 | $171.60 | |
| 2021 | 75 | $2K | |
| 2023 | 62 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 55% | 48 | 47 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 46 | 44 | $2K |
| 92567 | 13% | 56 | 52 | $657.32 |
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.