Physician
Macon Medical Group PC
Macon Medical Group PC was paid $232K by Medicaid between Feb 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoMACON MEDICAL GROUP PC
MACON, GA 31201
MACON, GA 31201
33aNPI1912914847assigned 08/02/2006
33bProvider typeNephrology Physician
28Total paid$232K
24GClaims8,207
24DCodes billed18
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Georgia
Rank by total paid#6 of 27
Median peer was paid$25K
This provider vs. median9.4×
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 | 541 | $10K | |
| 2019 | 633 | $18K | |
| 2020 | 1,204 | $29K | |
| 2021 | 1,943 | $59K | |
| 2022 | 1,518 | $44K | |
| 2023 | 1,150 | $40K | |
| 2024incomplete | 1,218 | $31K |
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 | 51% | 4,038 | 3,623 | $118K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 20% | 1,337 | 1,235 | $46K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 955 | 236 | $36K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 1,101 | 269 | $24K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 71 | 56 | $5K |
| 90961 | <1% | 29 | 25 | $1K | |
| 80069 | <1% | 107 | 102 | $623.04 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 114 | 105 | $568.17 |
| 83735 | <1% | 67 | 63 | $318.41 | |
| 81003 | <1% | 92 | 87 | $173.79 | |
| 84550 | <1% | 48 | 44 | $130.25 | |
| 99454 | 0% | 65 | 50 | $0.00 |
6 more codes
| 99457 | 0% | 28 | $0.00 | |
| 99458 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 27 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 31 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 71 | $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.
From NPPES
Who's on the registration
Authorized officialCAVALIERE, LUDWIG (PHYSICIAN/CO-OWNER)