Ralston, Daniel

Ralston, Daniel was paid $45K by Medicaid between Jul 2020 and Aug 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoRALSTON, DANIEL
DECATUR, GA 30033

33aNPI1710333257assigned 05/13/2016

33bProvider typeFamily Medicine Physician

28Total paid$45K

24GClaims906

24DCodes billed7

24AFirst – last monthJul 2020 – Aug 2022

Compared with peers

Next to other Family Medicine Physician providers in Georgia

Rank by total paid#59 of 162

Median peer was paid$12K

This provider vs. median3.7×

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	191	$11K
2021	662	$32K
2022	53	$3K

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	27%	143	138	$12K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	23%	379	370	$11K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	17%	187	183	$8K
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	14%	64	64	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	63	63	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	24	24	$2K
87428		<1%	46	46	$364.78

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.