Clinic
David R Donaldson M.D., PLLC
David R Donaldson M.D., PLLC was paid $13K by Medicaid between Jul 2018 and Aug 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoDAVID R DONALDSON M.D., PLLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1689869836assigned 09/11/2007
33bProvider typeMedical Specialty Clinic/Center
28Total paid$13K
24GClaims240
24DCodes billed2
24AFirst – last monthJul 2018 – Aug 2019
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Idaho
Rank by total paid#6 of 6
Median peer was paid$274K
This provider vs. median0.0×
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 | 99 | $5K | |
| 2019 | 141 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 82% | 210 | 180 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 30 | 30 | $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.
From NPPES
Who's on the registration
Authorized officialWILCOX, DEBBY (MANAGER)