Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ID › St Maries › NPI 1073552808
Physician

Gandy, Donald

Gandy, Donald was paid $18K by Medicaid between Jul 2018 and Dec 2018, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 64% of everything it billed.

33Billing provider infoGANDY, DONALD
ST MARIES, ID 83861
33aNPI1073552808assigned 06/06/2006
33bProvider typeHospitalist Physician
28Total paid$18K
24GClaims237
24DCodes billed3
24AFirst – last monthJul 2018 – Dec 2018
Compared with peers

Next to other Hospitalist Physician providers in Idaho

Rank by total paid#3 of 5
Median peer was paid$18K
This provider vs. median1.0×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018237$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 64% 193 191 $11K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 27% 29 29 $5K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 15 15 $2K

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.