Mcdonald, Helen

Mcdonald, Helen was paid $9K by Medicaid between Mar 2019 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider infoMCDONALD, HELEN
ALBANY, NY 12202

33aNPI1952821118assigned 06/20/2017

33bProvider typeAdult Medicine Physician

28Total paid$9K

24GClaims570

24DCodes billed7

24AFirst – last monthMar 2019 – Oct 2024

Compared with peers

Next to other Adult Medicine Physician providers in New York

Rank by total paid#35 of 54

Median peer was paid$23K

This provider vs. median0.4×

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
2019	49	$759.96
2021	84	$2K
2022	304	$5K
2023	89	$257.02
2024incomplete	44	$648.43

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	89%	305	295	$8K
99308	Subsequent nursing facility care, per day, straightforward	7.2%	27	24	$639.22
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.2%	76	62	$198.26
96127		1.0%	119	96	$89.68
99307		<1%	14	12	$40.13
3078F		0%	16	15	$0.00
3074F		0%	13	12	$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.