Physician
Donahoe, Michael
Donahoe, Michael was paid $30K by Medicaid between Jun 2021 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoDONAHOE, MICHAEL
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
33aNPI1841263928assigned 02/09/2006
33bProvider typePulmonary Disease Physician
28Total paid$30K
24GClaims1,331
24DCodes billed8
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#29 of 137
Median peer was paid$7K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2021 | 53 | $4K | |
| 2022 | 279 | $6K | |
| 2023 | 634 | $11K | |
| 2024incomplete | 365 | $9K |
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 | 65% | 452 | 446 | $19K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 28 | 12 | $3K |
| 94060 | 6.6% | 316 | 312 | $2K | |
| 94726 | 5.3% | 207 | 203 | $2K | |
| 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 | 4.9% | 26 | 26 | $1K |
| 94729 | 4.3% | 251 | 247 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 26 | 26 | $671.42 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 25 | 13 | $280.50 |
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.