Douglas, Donald

Douglas, Donald was paid $11K by Medicaid between Jan 2018 and Aug 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoDOUGLAS, DONALD
TEXARKANA, TX 75503

33aNPI1851385793assigned 09/07/2005

33bProvider typeInternal Medicine Physician

28Total paid$11K

24GClaims905

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#504 of 1,028

Median peer was paid$10K

This provider vs. median1.1×

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	345	$6K
2019	224	$2K
2020	171	$1K
2021	165	$2K

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	51%	259	196	$6K
99490	Ccm add 20min	33%	485	458	$4K
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%	40	37	$2K
36415	Collection of venous blood by venipuncture	<1%	107	96	$93.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	0%	14	13	$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.