Physician
Donald C Marcus DO PA
Donald C Marcus DO PA was paid $620K by Medicaid between Dec 2018 and Jun 2021, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoDONALD C MARCUS DO PA
PLANTATION, FL 33313
PLANTATION, FL 33313
33aNPI1801903653assigned 08/25/2006
33bProvider typePediatrics Physician
28Total paid$620K
24GClaims31,066
24DCodes billed37
24AFirst – last monthDec 2018 – Jun 2021
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#343 of 971
Median peer was paid$238K
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 | 2,110 | $20K | |
| 2019 | 12,377 | $282K | |
| 2020 | 9,747 | $195K | |
| 2021 | 6,832 | $123K |
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 | 39% | 6,838 | 5,560 | $241K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 1,246 | 1,123 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,105 | 1,015 | $93K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 819 | 677 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 657 | 564 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 882 | 796 | $26K |
| 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 | 3.3% | 341 | 267 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 1,858 | 1,577 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 3,926 | 3,343 | $11K |
| 81003 | <1% | 2,893 | 2,502 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 300 | 150 | $1K |
| 99383 | <1% | 17 | 17 | $1K |
25 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 293 | $934.30 |
| 99381 | <1% | 13 | $903.65 | |
| 90670 | <1% | 761 | $709.68 | |
| 36416 | <1% | 2,308 | $667.03 | |
| 90633 | <1% | 229 | $412.03 | |
| 90723 | <1% | 100 | $216.00 | |
| 90698 | <1% | 199 | $166.48 | |
| 90715 | <1% | 97 | $140.00 | |
| 90696 | <1% | 54 | $120.00 | |
| 90707 | <1% | 56 | $100.00 | |
| 90700 | <1% | 85 | $100.00 | |
| 90461 | <1% | 862 | $84.29 | |
| 90648 | <1% | 101 | $80.00 | |
| 90716 | <1% | 59 | $70.00 | |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 930 | $53.22 |
| 90734 | <1% | 80 | $50.00 | |
| 90651 | <1% | 39 | $50.00 | |
| 90710 | <1% | 52 | $37.00 | |
| 99000 | <1% | 508 | $10.00 | |
| 92551 | <1% | 1,564 | $10.00 | |
| 90744 | <1% | 128 | $10.00 | |
| 99173 | 0% | 1,574 | $0.00 | |
| 90681 | 0% | 39 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90647 | 0% | 41 | $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.
From NPPES
Who's on the registration
Authorized officialMARCUS, DONALD (OWNER PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Infectious Diseases Associates, P.C. | Southampton, PA | $1.71M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.