Physician
D&G Medical Associates PLLC
D&G Medical Associates PLLC was paid $1.32M by Medicaid between Jun 2018 and Dec 2024, across 60 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 36% of everything it billed.
33Billing provider infoD&G MEDICAL ASSOCIATES PLLC
MERIDIAN, ID 83646
MERIDIAN, ID 83646
33aNPI1669975900assigned 03/13/2018
33bProvider typeFamily Medicine Physician
28Total paid$1.32M
24GClaims83,059
24DCodes billed60
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Idaho
Rank by total paid#22 of 136
Median peer was paid$139K
This provider vs. median9.5×
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 | 350 | $8K | |
| 2019 | 4,190 | $47K | |
| 2020 | 6,130 | $88K | |
| 2021 | 8,833 | $159K | |
| 2022 | 11,116 | $227K | |
| 2023 | 14,423 | $279K | |
| 2024incomplete | 38,017 | $517K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 36% | 15,217 | 10,227 | $473K |
| 99310 | Prolong nursin fac eval 15m | 26% | 7,823 | 5,677 | $343K |
| 99457 | 5.6% | 6,029 | 5,917 | $74K | |
| 99306 | Prolong nursin fac eval 15m | 5.4% | 1,112 | 1,061 | $71K |
| 99337 | 5.3% | 1,938 | 1,185 | $70K | |
| 99336 | 4.5% | 2,107 | 1,414 | $59K | |
| 99454 | 4.4% | 3,152 | 3,094 | $58K | |
| 99458 | 3.4% | 4,892 | 4,798 | $45K | |
| 99350 | Prolong home eval add 15m | 3.1% | 957 | 483 | $41K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.4% | 1,260 | 1,050 | $31K |
| 99497 | 1.7% | 1,312 | 1,241 | $23K | |
| 99401 | 1.0% | 1,362 | 1,130 | $13K |
48 more codes
| G2214 | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional | <1% | 660 | $11K |
| 99490 | Ccm add 20min | <1% | 3,513 | $2K |
| 99397 | <1% | 79 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16 | $1K |
| 99453 | <1% | 284 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99328 | <1% | 13 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 42 | $990.27 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 113 | $495.70 |
| 99439 | <1% | 1,769 | $489.99 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,062 | $253.97 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 230 | $250.23 |
| 99307 | <1% | 32 | $193.96 | |
| 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) | <1% | 1,031 | $136.76 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 16 | $125.10 |
| 90653 | <1% | 12 | $98.40 | |
| 99487 | Ccm add 20min | <1% | 291 | $85.81 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 64 | $79.02 |
| 99489 | Ccm add 20min | <1% | 243 | $72.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 55 | $47.14 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 4,026 | $46.28 |
| G8535 | Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status | <1% | 38 | $45.20 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 6,221 | $7.31 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 76 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 5,505 | $0.00 |
| G2197 | Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | 0% | 755 | $0.00 |
| 1036F | 0% | 221 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 750 | $0.00 |
| 1123F | 0% | 848 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 172 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 27 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 200 | $0.00 |
| 3044F | 0% | 61 | $0.00 | |
| 3351F | 0% | 24 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| M1211 | Most recent glycemic status assessment (hba1c or gmi) level > 9.0% | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 832 | $0.00 |
| 96160 | 0% | 178 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 139 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 212 | $0.00 |
| 1100F | 0% | 356 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 203 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 46 | $0.00 |
| 3288F | 0% | 287 | $0.00 | |
| 0518F | 0% | 267 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 17 | $0.00 |
| 4040F | 0% | 16 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,855 | $-405.35 |
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.
From NPPES
Who's on the registration
Authorized officialFRALEY, KAREN (REVENUE CYCLE DIRECTOR)