Mcgonigle, John

Mcgonigle, John was paid $259K by Medicaid between Jan 2018 and Aug 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoMCGONIGLE, JOHN
EAST PROVIDENCE, RI 02914

33aNPI1982717807assigned 08/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$259K

24GClaims4,162

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#29 of 220

Median peer was paid$33K

This provider vs. median7.8×

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	1,520	$94K
2019	904	$56K
2020	529	$32K
2021	746	$47K
2022	463	$30K

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	65%	2,327	1,412	$167K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	1,769	1,037	$88K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.3%	54	38	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$732.52

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.