Hale, Darin

Hale, Darin was paid $70K by Medicaid between Mar 2019 and Dec 2020, across 12 billing codes. Its largest line is H0033, Oral medication administration, direct observation — 34% of everything it billed.

33Billing provider infoHALE, DARIN
MONTICELLO, KY 42633

33aNPI1760671655assigned 10/17/2007

33bProvider typeEmergency Medicine Physician

28Total paid$70K

24GClaims2,048

24DCodes billed12

24AFirst – last monthMar 2019 – Dec 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#39 of 91

Median peer was paid$34K

This provider vs. median2.0×

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
2019	1,107	$22K
2020	941	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0033	Oral medication administration, direct observation	34%	247	142	$24K
H0014	Alcohol and/or drug services; ambulatory detoxification	23%	52	26	$16K
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	14%	345	190	$10K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	7.9%	65	43	$6K
99354		7.1%	373	238	$5K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed	5.1%	145	102	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.5%	540	374	$3K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	2.1%	164	107	$1K
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	1.4%	14	14	$963.76
99355		<1%	46	32	$563.70
99406		<1%	42	27	$179.33
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	<1%	15	12	$66.43

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.