NP / PA
Whitley, Donna
Whitley, Donna was paid $6K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoWHITLEY, DONNA
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
33aNPI1851769418assigned 09/11/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$6K
24GClaims146
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Family Nurse Practitioner providers in Missouri
Rank by total paid#429 of 745
Median peer was paid$11K
This provider vs. median0.6×
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 | 146 | $6K |
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 | 59% | 87 | 85 | $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 | 35% | 35 | 35 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.4% | 24 | 17 | $414.29 |
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.