Tupper, Donald
Tupper, Donald was paid $8K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 65% of everything it billed.
33Billing provider infoTUPPER, DONALD
COSHOCTON, OH 43812
COSHOCTON, OH 43812
33aNPI1457310419assigned 03/20/2006
33bProvider typePodiatrist
28Total paid$8K
24GClaims515
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Podiatrist providers in Ohio
Rank by total paid#147 of 237
Median peer was paid$21K
This provider vs. median0.4×
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 | 254 | $4K | |
| 2019 | 85 | $2K | |
| 2020 | 56 | $364.55 | |
| 2021 | 53 | $636.56 | |
| 2022 | 53 | $478.58 | |
| 2024incomplete | 14 | $13.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 65% | 249 | 182 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 100 | 76 | $2K |
| 11719 | 6.4% | 151 | 129 | $477.58 | |
| 11720 | 1.4% | 15 | 14 | $106.96 |
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.