Mchale, Kathleen

Mchale, Kathleen was paid $85K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoMCHALE, KATHLEEN
WILKES BARRE, PA 18702

33aNPI1922024793assigned 07/14/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$85K

24GClaims1,605

24DCodes billed5

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#27 of 291

Median peer was paid$7K

This provider vs. median11×

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	287	$7K
2020	291	$38K
2022	153	$6K
2023	494	$17K
2024incomplete	380	$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	58%	1,245	1,131	$49K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	32%	294	253	$28K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	8.2%	34	25	$7K
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	1.1%	14	14	$947.61
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	18	16	$544.00

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.