Hines, Donna

Hines, Donna was paid $25K by Medicaid between Sep 2019 and Jan 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoHINES, DONNA
HEMET, CA 92543

33aNPI1780678037assigned 09/01/2005

33bProvider typePediatrics Physician

28Total paid$25K

24GClaims915

24DCodes billed9

24AFirst – last monthSep 2019 – Jan 2023

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#688 of 1,490

Median peer was paid$15K

This provider vs. median1.7×

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
2019	240	$11K
2020	326	$8K
2021	93	$2K
2022	243	$3K
2023	13	$595.65

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	56%	299	231	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	226	176	$7K
92552		5.0%	58	58	$1K
G9920	Screening performed and negative	4.3%	140	139	$1K
90686		3.0%	74	74	$752.50
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.4%	13	13	$595.65
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.2%	12	12	$542.53
81000		<1%	13	13	$39.15
99173		0%	80	79	$0.00

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.