Physician
Fornace, Donald
Fornace, Donald was paid $387K by Medicaid between Jan 2019 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoFORNACE, DONALD
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
33aNPI1669494480assigned 07/24/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$387K
24GClaims6,408
24DCodes billed12
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Florida
Rank by total paid#25 of 378
Median peer was paid$12K
This provider vs. median33×
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 | 776 | $44K | |
| 2020 | 944 | $57K | |
| 2021 | 1,113 | $83K | |
| 2022 | 1,091 | $77K | |
| 2023 | 1,450 | $77K | |
| 2024incomplete | 1,034 | $50K |
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 | 37% | 2,399 | 2,234 | $145K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 27% | 1,106 | 1,077 | $106K |
| 93880 | 17% | 871 | 845 | $65K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.9% | 203 | 200 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 1,445 | 1,336 | $34K |
| 93016 | <1% | 125 | 124 | $2K | |
| 93018 | <1% | 128 | 125 | $662.60 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | 12 | $604.77 |
| 93227 | <1% | 12 | 12 | $166.41 | |
| 93000 | <1% | 17 | 17 | $91.84 | |
| 99490 | Ccm add 20min | <1% | 14 | 14 | $50.08 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 75 | 72 | $0.00 |
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.