Donald F. Condon, M.D.

Donald F. Condon, M.D. was paid $48K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoDONALD F. CONDON, M.D.
SPOKANE, WA 99218

33aNPI1063692747assigned 11/09/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$48K

24GClaims1,048

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Primary Care Clinic/Center providers in Washington

Rank by total paid#40 of 74

Median peer was paid$59K

This provider vs. median0.8×

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	813	$38K
2019	235	$10K

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	66%	690	616	$32K
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	22%	170	167	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	11%	174	161	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14	13	$189.42

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.

From NPPES

Who's on the registration

Authorized officialREHFELD, KEN (OFFICE MANAGER)

Parent organizationDONALD F. CONDON, M.D.