Physician
Boudreau, Douglas
Boudreau, Douglas was paid $169K by Medicaid between Jan 2018 and Mar 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoBOUDREAU, DOUGLAS
HINESVILLE, GA 31313
HINESVILLE, GA 31313
33aNPI1598720617assigned 04/20/2006
33bProvider typePediatrics Physician
28Total paid$169K
24GClaims3,394
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#82 of 220
Median peer was paid$57K
This provider vs. median3.0×
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 | 1,125 | $58K | |
| 2019 | 909 | $46K | |
| 2020 | 273 | $15K | |
| 2022 | 390 | $12K | |
| 2023 | 590 | $33K | |
| 2024incomplete | 107 | $6K |
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 | 33% | 851 | 800 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 24% | 490 | 452 | $41K |
| 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 | 21% | 440 | 413 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 188 | 183 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 111 | 109 | $10K |
| 90723 | 1.9% | 153 | 153 | $3K | |
| 90686 | 1.1% | 253 | 251 | $2K | |
| 90670 | 1.1% | 250 | 245 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 17 | 16 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 90647 | <1% | 83 | 81 | $597.50 | |
| 92558 | <1% | 50 | 50 | $461.90 |
3 more codes
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.