Physician
Fisher, Donald
Fisher, Donald was paid $85K by Medicaid between Feb 2018 and Mar 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoFISHER, DONALD
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
33aNPI1235126236assigned 10/04/2005
33bProvider typePediatrics Physician
28Total paid$85K
24GClaims2,538
24DCodes billed20
24AFirst – last monthFeb 2018 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#795 of 1,805
Median peer was paid$55K
This provider vs. median1.5×
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 | 25 | $1K | |
| 2019 | 2,282 | $73K | |
| 2020 | 231 | $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 | 32% | 604 | 508 | $27K |
| 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 | 28% | 330 | 284 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 92 | 86 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 77 | 76 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.8% | 80 | 52 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.7% | 299 | 282 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 68 | 64 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 15 | 15 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 61 | 32 | $939.00 |
| 90670 | <1% | 29 | 27 | $811.15 | |
| 90686 | <1% | 66 | 56 | $561.84 | |
| 96127 | <1% | 31 | 29 | $452.60 |
8 more codes
| 96160 | <1% | 28 | $379.60 | |
| 81003 | <1% | 132 | $298.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $204.10 |
| 90685 | <1% | 15 | $96.00 | |
| 94760 | <1% | 94 | $8.80 | |
| 96161 | 0% | 43 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 337 | $0.00 |
| 90461 | 0% | 124 | $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.