Carlson, Donald
Carlson, Donald was paid $163K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoCARLSON, DONALD
HERMISTON, OR 97838
HERMISTON, OR 97838
33aNPI1114087632assigned 12/12/2006
33bProvider typePodiatrist
28Total paid$163K
24GClaims3,063
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Podiatrist providers in Oregon
Rank by total paid#9 of 40
Median peer was paid$18K
This provider vs. median9.2×
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 | 458 | $25K | |
| 2019 | 650 | $28K | |
| 2020 | 595 | $26K | |
| 2021 | 454 | $23K | |
| 2022 | 346 | $22K | |
| 2023 | 268 | $20K | |
| 2024incomplete | 292 | $19K |
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 | 56% | 1,813 | 1,584 | $92K |
| 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 | 34% | 652 | 595 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 66 | 66 | $6K |
| 73630 | 3.5% | 233 | 131 | $6K | |
| 11721 | 1.4% | 203 | 192 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 25 | 25 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 57 | 55 | $165.97 |
| 11720 | <1% | 14 | 14 | $83.88 |
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.