Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Daniel, John

Daniel, John was paid $21K by Medicaid between Jan 2018 and Oct 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoDANIEL, JOHN
HEATHSVILLE, VA 22473
33aNPI1346258159assigned 08/04/2006
28Total paid$21K
24GClaims439
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#340 of 772
Median peer was paid$13K
This provider vs. median1.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018439$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 353 318 $19K
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 3.4% 15 13 $707.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.3% 19 19 $275.76
90686 <1% 14 12 $133.10
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16 13 $100.76
36415 Collection of venous blood by venipuncture <1% 22 20 $39.51

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.