Donald B Plummer LLC

Donald B Plummer LLC was paid $70K by Medicaid between Nov 2018 and Nov 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 51% of everything it billed.

33Billing provider infoDONALD B PLUMMER LLC
FOLEY, AL 36535

33aNPI1730690413assigned 10/20/2017

33bProvider typeInfectious Disease Physician

28Total paid$70K

24GClaims1,844

24DCodes billed6

24AFirst – last monthNov 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Alabama

Rank by total paid#3 of 14

Median peer was paid$27K

This provider vs. median2.6×

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	57	$933.00
2019	240	$4K
2020	350	$10K
2021	224	$8K
2022	432	$15K
2023	403	$26K
2024incomplete	138	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	51%	427	376	$36K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	30%	852	272	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	418	342	$9K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.3%	90	53	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	43	16	$528.00
99222	Initial hospital care, per day, moderate complexity	<1%	14	14	$405.00

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.

From NPPES

Who's on the registration

Authorized officialPLUMMER, DONALD (PRESIDENT)