Hay, Donald

Hay, Donald was paid $28K by Medicaid between Jan 2018 and Jan 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoHAY, DONALD
DARLINGTON, WI 53530

33aNPI1326040098assigned 08/12/2005

33bProvider typeFamily Medicine Physician

28Total paid$28K

24GClaims728

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#121 of 359

Median peer was paid$4K

This provider vs. median7.2×

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	298	$11K
2019	386	$15K
2020	44	$2K

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	56%	463	439	$16K
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	43%	251	245	$12K
90686		<1%	14	14	$203.10

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.