Physician
Durand, Douglas
Durand, Douglas was paid $180K by Medicaid between Jan 2018 and May 2020, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoDURAND, DOUGLAS
WASHINGTON, MO 63090
WASHINGTON, MO 63090
33aNPI1003092057assigned 01/20/2008
33bProvider typePediatrics Physician
28Total paid$180K
24GClaims4,029
24DCodes billed15
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#212 of 992
Median peer was paid$40K
This provider vs. median4.5×
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 | 1,629 | $79K | |
| 2019 | 1,850 | $80K | |
| 2020 | 550 | $22K |
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 | 29% | 700 | 654 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 28% | 549 | 533 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 621 | 581 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 251 | 243 | $23K |
| 90723 | 5.1% | 269 | 266 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 137 | 87 | $3K |
| 90670 | 1.6% | 425 | 419 | $3K | |
| 90647 | 1.6% | 410 | 404 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 27 | 27 | $3K |
| 90686 | 1.2% | 335 | 318 | $2K | |
| 90680 | <1% | 244 | 242 | $2K | |
| 87807 | <1% | 19 | 18 | $379.86 |
3 more codes
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.