Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Cape Girardeau › NPI 1598759169
Physician

Coonce, Don

Coonce, Don was paid $5K by Medicaid between Feb 2018 and Jul 2019, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 70% of everything it billed.

33Billing provider infoCOONCE, DON
CAPE GIRARDEAU, MO 63703
33aNPI1598759169assigned 09/09/2005
33bProvider typeOtolaryngology Physician
28Total paid$5K
24GClaims134
24DCodes billed2
24AFirst – last monthFeb 2018 – Jul 2019
Compared with peers

Next to other Otolaryngology Physician providers in Missouri

Rank by total paid#33 of 53
Median peer was paid$17K
This provider vs. median0.3×

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$500$1.0K$1.5K2018201920202021202220232024
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
201871$2K
201963$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70% 109 106 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30% 25 25 $1K

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.