Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TOM MCDONALD MD PLLC

NPI: 1235561291 · LEXINGTON, TN 38351 · Internal Medicine Physician · NPI assigned 08/01/2013

$54K
Total Medicaid Paid
3,385
Total Claims
2,607
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialMCDONALD, THOMAS (OWNER)
NPI Enumeration Date08/01/2013

Related Entities

Other providers sharing the same authorized official: MCDONALD, THOMAS

ProviderCityStateTotal Paid
THOMAS J MCDONALD DDS PC MOUNT PLEASANT MI $360K
MCDONALD ORAL AND MAXILLOFACIAL SURGERY, LLC FLORENCE SC $227K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,532 $22K
2019 1,162 $18K
2020 527 $10K
2021 164 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,562 1,195 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 876 714 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 339 257 $4K
80305 221 142 $584.64
36415 Collection of venous blood by venipuncture 289 219 $216.36
90688 20 17 $117.51
90686 20 15 $103.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 12 $88.80
J1030 Injection, methylprednisolone acetate, 40 mg 14 12 $53.10
81003 15 12 $14.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 12 $0.85