Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Davies, Dale

Davies, Dale was paid $6K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoDAVIES, DALE
SHERMAN, TX 75092
33aNPI1053498436assigned 11/01/2006
28Total paid$6K
24GClaims445
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#587 of 1,028
Median peer was paid$10K
This provider vs. median0.6×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018208$2K
2019110$2K
202097$2K
202130$408.71
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 79% 241 240 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 164 146 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 14 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 13 13 $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.