Donald, Michael

Donald, Michael was paid $11K by Medicaid between Dec 2018 and Aug 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.

33Billing provider infoDONALD, MICHAEL
PICKENS, SC 29671

33aNPI1891719936assigned 07/26/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$11K

24GClaims216

24DCodes billed4

24AFirst – last monthDec 2018 – Aug 2020

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in South Carolina

Rank by total paid#2 of 8

Median peer was paid$4K

This provider vs. median2.6×

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	57	$2K
2019	147	$8K
2020	12	$973.80

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	91%	131	130	$10K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	6.5%	54	27	$711.18
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	14	14	$184.38
81003		<1%	17	17	$31.33

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.