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NPI 1790771954 · Russellville, KY · Family Nurse Practitioner
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David Mcclain is a family nurse practitioner provider located in Russellville, Kentucky. This profile covers 8 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Mcclain |
| Address | 60 Shelton Ln |
| City | Russellville |
| State | KY |
| ZIP | 42276 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | September 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $63K |
| Medicare | $7.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 140 | $30 | $4.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 120 | $10 | $920 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 100 | $10 | $730 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 20 | $30 | $620 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 30 | $20 | $510 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 70 | $1 | $220 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 70 | $1 | $70 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 50 | $1 | $50 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,220 | $30 | $57.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 80 | $50 | $4.1K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 30 | $30 | $930 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 160 | $1 | $470 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 30 | $10 | $390 |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 20 | $10 | $210 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,275 | 3,340 | 1,020 | $30 | $296K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 175 | 210 | 230 | $40 | $79.7K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 748 | 870 | 480 | $20 | $61.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 506 | 730 | 710 | $1 | $57.8K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 740 | 780 | 610 | $10 | $52K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 834 | 1,400 | 130 | $50 | $45.8K |
Other providers in the same ZIP code as David Mcclain, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Logan Memorial Hospital LLC | KY | Rural Acute Care Hospital | $0 | $14.3M |
| Kamal Singh | KY | Internal Medicine Physician | $572.2K | $0 |
| Kushal Singh | KY | Internal Medicine Physician | $342K | $0 |
| Muhammad Ahmed | KY | Pulmonary Disease Physician | $228.7K | $0 |
| Patrick Hayden | KY | Family Medicine Physician | $192.4K | $0 |
| Katherine Gilliam | KY | Family Medicine Physician | $106.8K | $0 |
| Alannah Robertson | KY | Speech-Language Pathologist | $47.5K | $0 |
| Amy Webster | KY | Family Nurse Practitioner | $44.6K | $0 |
| Carlton Lee | KY | Family Medicine Physician | $33.6K | $0 |
| Kimberly Buckner | KY | Psychiatric/Mental Health Nurse Practitioner | $11.7K | $0 |
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