Physician
Wilson, Danelle
Wilson, Danelle was paid $876K by Medicaid between Jan 2018 and May 2022, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoWILSON, DANELLE
ALPHARETTA, GA 30005
ALPHARETTA, GA 30005
33aNPI1023061751assigned 05/17/2006
33bProvider typePediatrics Physician
28Total paid$876K
24GClaims26,173
24DCodes billed35
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#54 of 220
Median peer was paid$57K
This provider vs. median15×
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 | 4,113 | $188K | |
| 2019 | 4,936 | $211K | |
| 2020 | 7,147 | $179K | |
| 2021 | 7,449 | $212K | |
| 2022 | 2,528 | $86K |
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 | 27% | 3,510 | 3,183 | $235K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,502 | 1,344 | $138K |
| 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 | 16% | 1,439 | 1,296 | $137K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,195 | 1,049 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 2,131 | 1,930 | $81K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 3,363 | 3,048 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 332 | 319 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 1,776 | 1,592 | $31K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 1,747 | 1,595 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 531 | 381 | $6K |
| 92587 | <1% | 181 | 159 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 322 | 157 | $5K |
23 more codes
| 99429 | <1% | 213 | $3K | |
| 90474 | <1% | 270 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 69 | $3K |
| 96161 | <1% | 680 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $2K |
| 96160 | <1% | 373 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,243 | $1K |
| 36416 | <1% | 1,805 | $975.06 | |
| 99188 | <1% | 49 | $782.77 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $598.79 |
| 96127 | <1% | 112 | $479.58 | |
| 99173 | <1% | 171 | $401.52 | |
| 82947 | <1% | 31 | $137.12 | |
| 82465 | <1% | 31 | $126.27 | |
| 90647 | 0% | 242 | $0.00 | |
| 90686 | 0% | 492 | $0.00 | |
| 90680 | 0% | 274 | $0.00 | |
| 90723 | 0% | 321 | $0.00 | |
| 90670 | 0% | 638 | $0.00 | |
| 90633 | 0% | 44 | $0.00 | |
| 5250F | 0% | 13 | $0.00 | |
| 90710 | 0% | 29 | $0.00 | |
| 90685 | 0% | 15 | $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.