Cummings, Donelle

Cummings, Donelle was paid $20K by Medicaid between Oct 2020 and May 2023, across 3 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 78% of everything it billed.

33Billing provider infoCUMMINGS, DONELLE
BROOKLYN, NY 11203

33aNPI1649539552assigned 05/11/2012

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$20K

24GClaims185

24DCodes billed3

24AFirst – last monthOct 2020 – May 2023

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in New York

Rank by total paid#56 of 94

Median peer was paid$46K

This provider vs. median0.4×

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
2020	13	$695.84
2022	107	$11K
2023	65	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45380	Colonoscopy, flexible; with biopsy, single or multiple	78%	131	131	$16K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	13%	41	41	$3K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	8.3%	13	13	$2K

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.