Physician
Mcdonald, Douglas
Mcdonald, Douglas was paid $46K by Medicaid between Sep 2021 and Nov 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.
33Billing provider infoMCDONALD, DOUGLAS
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1891723755assigned 06/29/2006
33bProvider typeEmergency Medicine Physician
28Total paid$46K
24GClaims1,130
24DCodes billed10
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Ohio
Rank by total paid#122 of 368
Median peer was paid$13K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2021 | 30 | $585.00 | |
| 2022 | 30 | $570.00 | |
| 2024incomplete | 1,070 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 251 | 243 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 227 | 222 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 10% | 127 | 121 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 220 | 84 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 99 | 92 | $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 | 1.5% | 15 | 14 | $710.13 |
| 81003 | <1% | 15 | 14 | $24.31 | |
| 99051 | <1% | 54 | 53 | $22.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 103 | 100 | $10.00 |
| 90619 | <1% | 19 | 19 | $0.05 |
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.