Donald, Felicia

Donald, Felicia was paid $6K by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoDONALD, FELICIA
STERLING, VA 20166

33aNPI1538129127assigned 03/27/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$6K

24GClaims609

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#134 of 243

Median peer was paid$8K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (03/20/2022).

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	393	$1K
2019	84	$656.60
2020	132	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	74%	101	79	$4K
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	13%	20	20	$792.40
81003		10%	398	263	$612.11
99000		2.6%	46	41	$153.75
3294F		0%	44	34	$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.