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

Wornell, Douglas

Wornell, Douglas was paid $24K by Medicaid between Jan 2018 and Sep 2022, across 8 billing codes. Its largest line is 99305, — 56% of everything it billed.

33Billing provider infoWORNELL, DOUGLAS
GIG HARBOR, WA 98335
33aNPI1447343850assigned 09/30/2006
33bProvider typePsychiatry Physician
28Total paid$24K
24GClaims2,065
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Psychiatry Physician providers in Washington

Rank by total paid#17 of 27
Median peer was paid$36K
This provider vs. median0.7×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018380$6K
2019489$7K
2020641$4K
2021377$4K
2022178$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99305 56% 492 470 $13K
99308 Subsequent nursing facility care, per day, straightforward 37% 734 629 $9K
99310 Prolong nursin fac eval 15m 6.0% 82 82 $1K
99334 1.1% 13 13 $257.93
G8536 No documentation of an elder maltreatment screen, reason not given 0% 17 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 693 570 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 17 13 $0.00
G8421 Bmi not documented and no reason is given 0% 17 13 $0.00

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.