Physician
Dotson, Tony
Dotson, Tony was paid $765K by Medicaid between Jan 2018 and Nov 2021, across 15 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 34% of everything it billed.
33Billing provider infoDOTSON, TONY
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1396728499assigned 11/22/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$765K
24GClaims10,370
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Kentucky
Rank by total paid#6 of 53
Median peer was paid$23K
This provider vs. median34×
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 | 2,503 | $194K | |
| 2019 | 3,024 | $241K | |
| 2020 | 2,602 | $207K | |
| 2021 | 2,241 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 34% | 349 | 322 | $264K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 6,656 | 4,989 | $260K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.0% | 617 | 580 | $54K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.7% | 880 | 772 | $51K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.9% | 407 | 392 | $30K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.7% | 293 | 279 | $20K |
| 59430 | 2.6% | 298 | 288 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 166 | 151 | $16K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.7% | 225 | 204 | $13K |
| 59410 | 1.6% | 16 | 16 | $12K | |
| 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 | 1.6% | 194 | 186 | $12K |
| 76830 | Ultrasound, transvaginal | <1% | 132 | 114 | $7K |
3 more codes
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.