Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Walters, Donna

Walters, Donna was paid $224K by Medicaid between Jun 2019 and Dec 2024, across 20 billing codes. Its largest line is 87389, Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies — 17% of everything it billed.

33Billing provider infoWALTERS, DONNA
MARION, IL 62959
33aNPI1053665711assigned 11/02/2012
28Total paid$224K
24GClaims5,820
24DCodes billed20
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Women's Health Nurse Practitioner providers in Illinois

Rank by total paid#14 of 82
Median peer was paid$50K
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

$0$10K$20K$30K2018201920202021202220232024
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
201912$529.20
2022524$22K
20232,617$117K
2024incomplete2,667$85K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17% 635 567 $38K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14% 753 648 $32K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14% 748 649 $31K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12% 28 28 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7.7% 383 337 $17K
0502F 5.5% 135 106 $12K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 5.3% 423 342 $12K
86780 4.6% 637 568 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 111 85 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.8% 134 115 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.1% 87 78 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2.1% 110 91 $5K
8 more codes
86803 1.9% 265 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 638 $4K
87340 1.4% 244 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 27 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.0% 51 $2K
86762 <1% 223 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 32 $2K
82950 <1% 156 $718.76

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.