Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wathen, David

Wathen, David was paid $39K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.

33Billing provider infoWATHEN, DAVID
ST. LOUIS, MO 63104
33aNPI1811190408assigned 06/09/2007
33bProvider typeHospitalist Physician
28Total paid$39K
24GClaims613
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Hospitalist Physician providers in Missouri

Rank by total paid#24 of 71
Median peer was paid$14K
This provider vs. median2.8×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018366$24K
2019146$9K
2020101$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 277 136 $13K
99222 Initial hospital care, per day, moderate complexity 20% 79 78 $8K
99238 Hospital discharge day management, 30 minutes or less 20% 157 151 $8K
99223 Prolong inpt eval add15 m 16% 49 49 $6K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.8% 37 15 $3K
99235 4.2% 14 14 $2K

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.