NP / PA
Plutto, Donalyn
Plutto, Donalyn was paid $125K by Medicaid between Nov 2020 and Oct 2023, across 9 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 37% of everything it billed.
33Billing provider infoPLUTTO, DONALYN
INDIANA, PA 15701
INDIANA, PA 15701
33aNPI1487026878assigned 10/23/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$125K
24GClaims3,245
24DCodes billed9
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#119 of 1,075
Median peer was paid$8K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 41 | $1K | |
| 2021 | 1,139 | $40K | |
| 2022 | 1,220 | $50K | |
| 2023 | 845 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 37% | 1,550 | 1,533 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 882 | 872 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 454 | 448 | $15K |
| 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 | 7.7% | 128 | 128 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 101 | 99 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | 48 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | 56 | $739.90 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $414.13 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $361.80 |
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.