Mcdonald, Robert

Mcdonald, Robert was paid $7K by Medicaid between Feb 2018 and Mar 2020, across 3 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 53% of everything it billed.

33Billing provider infoMCDONALD, ROBERT
JEFFERSON CITY, MO 65109

33aNPI1033184007assigned 02/22/2006

33bProvider typeOtolaryngology Physician

28Total paid$7K

24GClaims91

24DCodes billed3

24AFirst – last monthFeb 2018 – Mar 2020

Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#32 of 53

Median peer was paid$17K

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
2018	39	$3K
2019	39	$3K
2020	13	$521.06

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	53%	24	24	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	55	52	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	12	12	$897.81

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.