Physician
Charles, Douglas
Charles, Douglas was paid $38K by Medicaid between Oct 2020 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoCHARLES, DOUGLAS
VALLEY VIEW, PA 17983
VALLEY VIEW, PA 17983
33aNPI1285841106assigned 05/17/2007
33bProvider typeFamily Medicine Physician
28Total paid$38K
24GClaims1,188
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,054 of 2,756
Median peer was paid$19K
This provider vs. median2.0×
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 | 43 | $1K | |
| 2021 | 397 | $12K | |
| 2022 | 259 | $9K | |
| 2023 | 235 | $8K | |
| 2024incomplete | 254 | $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 | 95% | 1,086 | 997 | $37K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.6% | 45 | 43 | $2K |
| G9920 | Screening performed and negative | 0% | 57 | 56 | $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.