Dornhecker, Gerald

Dornhecker, Gerald was paid $229K by Medicaid between Mar 2020 and Nov 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 61% of everything it billed.

33Billing provider infoDORNHECKER, GERALD
PROVIDENCE, RI 02903

33aNPI1306994538assigned 01/05/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$229K

24GClaims3,630

24DCodes billed5

24AFirst – last monthMar 2020 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#26 of 266

Median peer was paid$31K

This provider vs. median7.4×

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	138	$5K
2021	788	$60K
2022	1,736	$103K
2023	902	$55K
2024incomplete	66	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	61%	2,059	1,987	$140K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	20%	436	422	$45K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	19%	983	967	$43K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	140	137	$984.33
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	12	12	$239.91

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.