Polack, Donovan
Polack, Donovan was paid $6K by Medicaid between Mar 2019 and Mar 2024, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 69% of everything it billed.
33Billing provider infoPOLACK, DONOVAN
FLORISSANT, MO 63031
FLORISSANT, MO 63031
33aNPI1659324465assigned 05/19/2006
33bProvider typeSpecialist
28Total paid$6K
24GClaims164
24DCodes billed2
24AFirst – last monthMar 2019 – Mar 2024
Compared with peers
Next to other Specialist providers in Missouri
Rank by total paid#59 of 86
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2019 | 47 | $2K | |
| 2020 | 33 | $1K | |
| 2021 | 45 | $2K | |
| 2022 | 25 | $687.46 | |
| 2024incomplete | 14 | $692.37 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 69% | 111 | 96 | $4K |
| 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 | 31% | 53 | 51 | $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.