Ratchford, Donald

Ratchford, Donald was paid $42K by Medicaid between Nov 2020 and Feb 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoRATCHFORD, DONALD
CRESSON, PA 16630

33aNPI1134125792assigned 06/28/2005

33bProvider typeFamily Medicine Physician

28Total paid$42K

24GClaims970

24DCodes billed6

24AFirst – last monthNov 2020 – Feb 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#995 of 2,756

Median peer was paid$19K

This provider vs. median2.2×

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
2020	59	$3K
2021	507	$22K
2022	200	$7K
2023	175	$9K
2024incomplete	29	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	449	430	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	353	336	$16K
G0008	Administration of influenza virus vaccine	<1%	15	15	$175.50
99307		<1%	15	15	$62.88
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	122	122	$0.00
90688		0%	16	16	$0.00

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.