Tynes, Donald

Tynes, Donald was paid $19K by Medicaid between Jan 2018 and Apr 2018, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoTYNES, DONALD
BENTON HARBOR, MI 49022

33aNPI1609851153assigned 12/07/2005

33bProvider typeInternal Medicine Physician

28Total paid$19K

24GClaims327

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#541 of 816

Median peer was paid$70K

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

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	327	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	48%	116	95	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	108	97	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	14%	30	29	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	5.1%	12	12	$976.08
99406		2.0%	48	48	$389.76
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	13	12	$7.80

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.