Physician
Middleton JR., Donald
Middleton JR., Donald was paid $39K by Medicaid between Jan 2018 and Mar 2023, across 7 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 45% of everything it billed.
33Billing provider infoMIDDLETON JR., DONALD
NEW BEDFORD, MA 02740
NEW BEDFORD, MA 02740
33aNPI1861458606assigned 04/21/2006
33bProvider typeEmergency Medicine Physician
28Total paid$39K
24GClaims463
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Massachusetts
Rank by total paid#158 of 618
Median peer was paid$8K
This provider vs. median4.7×
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 | 85 | $10K | |
| 2022 | 69 | $7K | |
| 2023 | 309 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 45% | 114 | 114 | $18K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 20% | 48 | 44 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 134 | 133 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 43 | 43 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 4.5% | 37 | 14 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 73 | 72 | $884.13 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 14 | 14 | $455.14 |
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.