Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Macdonald, Charles

Macdonald, Charles was paid $528K by Medicaid between Dec 2021 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoMACDONALD, CHARLES
FRISCO, CO 80443
33aNPI1083005961assigned 02/12/2015
28Total paid$528K
24GClaims4,051
24DCodes billed3
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Colorado

Rank by total paid#14 of 103
Median peer was paid$44K
This provider vs. median12×

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$20K2018201920202021202220232024
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
202196$11K
20221,465$176K
20231,305$167K
2024incomplete1,185$174K
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 61% 2,516 2,043 $325K
90792 Psychiatric diagnostic evaluation with medical services 26% 734 591 $136K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 801 653 $68K

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.