Physician
Don Michael Endress M.D.
Don Michael Endress M.D. was paid $933K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoDON MICHAEL ENDRESS M.D.
WATERFORD, CA 95386
WATERFORD, CA 95386
33aNPI1326106501assigned 12/04/2006
33bProvider typeGeneral Practice Physician
28Total paid$933K
24GClaims16,628
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#31 of 474
Median peer was paid$10K
This provider vs. median90×
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 | 3,637 | $201K | |
| 2019 | 2,921 | $161K | |
| 2020 | 2,380 | $129K | |
| 2021 | 2,156 | $120K | |
| 2022 | 1,632 | $95K | |
| 2023 | 1,931 | $115K | |
| 2024incomplete | 1,971 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 15,916 | 14,055 | $916K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 362 | 328 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 260 | 246 | $7K |
| 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 | <1% | 58 | 57 | $3K |
| 96127 | <1% | 32 | 32 | $163.99 |
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.
From NPPES
Who's on the registration
Authorized officialENDRESS, DON (MD)