Physician
Mcdonald, Elana
Mcdonald, Elana was paid $431K by Medicaid between Jan 2018 and Mar 2023, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoMCDONALD, ELANA
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1902893787assigned 10/05/2005
33bProvider typePediatrics Physician
28Total paid$431K
24GClaims18,509
24DCodes billed56
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#223 of 1,257
Median peer was paid$45K
This provider vs. median9.5×
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 | |
|---|---|---|---|
| 2018 | 507 | $14K | |
| 2019 | 624 | $11K | |
| 2020 | 1,278 | $30K | |
| 2021 | 13,921 | $333K | |
| 2022 | 2,159 | $42K | |
| 2023 | 20 | $2K |
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 | 21% | 1,067 | 945 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,244 | 1,138 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 452 | 434 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 418 | 397 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 360 | 342 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 294 | 283 | $30K |
| S9470 | Nutritional counseling, dietitian visit | 6.5% | 1,297 | 1,252 | $28K |
| S9451 | Exercise classes, non-physician provider, per session | 3.3% | 880 | 850 | $14K |
| 92551 | 1.9% | 951 | 901 | $8K | |
| Q3014 | Telehealth originating site facility fee | 1.8% | 314 | 304 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,593 | 798 | $6K |
| 92552 | 1.3% | 209 | 200 | $6K |
44 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 421 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 83 | $3K |
| 99173 | <1% | 1,173 | $2K | |
| 90670 | <1% | 323 | $2K | |
| 90686 | <1% | 302 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $2K |
| 0001A | <1% | 66 | $2K | |
| 90648 | <1% | 321 | $2K | |
| 99381 | <1% | 13 | $2K | |
| 90723 | <1% | 192 | $1K | |
| 0002A | <1% | 26 | $1K | |
| 90707 | <1% | 148 | $1K | |
| 99461 | <1% | 13 | $1K | |
| 90633 | <1% | 153 | $990.00 | |
| 90716 | <1% | 137 | $930.00 | |
| 90461 | <1% | 236 | $912.33 | |
| 96127 | <1% | 169 | $680.68 | |
| 0071A | <1% | 17 | $680.00 | |
| 0072A | <1% | 17 | $680.00 | |
| 90734 | <1% | 109 | $650.00 | |
| 90681 | <1% | 83 | $600.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 48 | $594.90 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $580.20 |
| 90651 | <1% | 68 | $480.00 | |
| 99072 | <1% | 2,977 | $466.47 | |
| 96161 | <1% | 253 | $431.64 | |
| 99177 | <1% | 49 | $370.08 | |
| 96160 | <1% | 207 | $152.60 | |
| 90700 | <1% | 44 | $110.00 | |
| 90620 | <1% | 12 | $90.00 | |
| 90696 | <1% | 12 | $70.00 | |
| 80061 | Lipid panel | 0% | 200 | $0.00 |
| 99188 | 0% | 98 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 15 | $0.00 |
| 99051 | 0% | 72 | $0.00 | |
| 83655 | 0% | 373 | $0.00 | |
| 90685 | 0% | 60 | $0.00 | |
| 91300 | 0% | 53 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 554 | $0.00 |
| 88738 | 0% | 80 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 49 | $0.00 |
| 85018 | 0% | 39 | $0.00 | |
| 85013 | 0% | 27 | $0.00 | |
| 91307 | 0% | 47 | $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.