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

Arthur N Donaldson M D INC

Arthur N Donaldson M D INC was paid $47K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.

33Billing provider infoARTHUR N DONALDSON M D INC
SONORA, CA 95370
33aNPI1497882914assigned 02/28/2007
33bProvider typeOphthalmology Physician
28Total paid$47K
24GClaims2,482
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#354 of 759
Median peer was paid$35K
This provider vs. median1.3×

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
2018299$2K
2019253$2K
2020247$2K
2021280$2K
2022550$10K
2023676$28K
2024incomplete177$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 36% 1,720 1,719 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 517 515 $15K
S0620 Routine ophthalmological examination including refraction; new patient 21% 119 119 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 102 102 $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 <1% 24 24 $253.57

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.

From NPPES

Who's on the registration

Authorized officialARDRON, GERARD (PRESIDENT)
Parent organizationARTHUR N DONALDSON M D INC
Same official

Other billing entities under ARDRON, GERARD

Full network →
ProviderLocationPaid
Arthur N. Donaldson, M.D., INC.Sonora, CA$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.