Dawn M Hayes

Dawn M Hayes was paid $20K by Medicaid between Aug 2021 and Dec 2023, across 3 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 93% of everything it billed.

33Billing provider infoDAWN M HAYES
ROSEVILLE, CA 95661

33aNPI1932325792assigned 04/18/2007

33bProvider typeGeneral Practice Physician

28Total paid$20K

24GClaims239

24DCodes billed3

24AFirst – last monthAug 2021 – Dec 2023

Compared with peers

Next to other General Practice Physician providers in California

Rank by total paid#196 of 474

Median peer was paid$10K

This provider vs. median1.9×

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	87	$11K
2022	35	$5K
2023	117	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	93%	154	136	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.9%	67	67	$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	1.0%	18	16	$200.72

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.

From NPPES

Who's on the registration

Authorized officialALBURY, SHELLY (ADMINISTRATOR)