Ours, Donald
Ours, Donald was paid $37K by Medicaid between Aug 2021 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoOURS, DONALD
SOUTH POINT, OH 45680
SOUTH POINT, OH 45680
33aNPI1255786653assigned 05/04/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$37K
24GClaims2,739
24DCodes billed11
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Ohio
Rank by total paid#43 of 290
Median peer was paid$5K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2021 | 234 | $4K | |
| 2022 | 653 | $12K | |
| 2023 | 960 | $13K | |
| 2024incomplete | 892 | $9K |
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 | 94% | 959 | 928 | $35K |
| 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 | 6.1% | 42 | 42 | $2K |
| 99499 | <1% | 19 | 18 | $0.02 | |
| 3078F | 0% | 45 | 44 | $0.00 | |
| 3008F | 0% | 1,109 | 1,075 | $0.00 | |
| 1000F | 0% | 304 | 297 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 85 | 83 | $0.00 |
| 3074F | 0% | 90 | 89 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 24 | 24 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 50 | 48 | $0.00 |
| 3079F | 0% | 12 | 12 | $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.