NP / PA
Pallone, Donald
Pallone, Donald was paid $53K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPALLONE, DONALD
PUNXSUTAWNEY, PA 15767
PUNXSUTAWNEY, PA 15767
33aNPI1932384138assigned 01/07/2008
33bProvider typeFamily Nurse Practitioner
28Total paid$53K
24GClaims5,469
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#222 of 1,075
Median peer was paid$8K
This provider vs. median6.3×
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 | 17 | $560.59 | |
| 2020 | 134 | $2K | |
| 2021 | 1,565 | $16K | |
| 2022 | 1,867 | $17K | |
| 2023 | 1,769 | $14K | |
| 2024incomplete | 117 | $3K |
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 | 53% | 942 | 873 | $28K |
| 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 | 43% | 488 | 465 | $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 | 4.0% | 41 | 41 | $2K |
| 1090F | 0% | 426 | 368 | $0.00 | |
| 3078F | 0% | 508 | 469 | $0.00 | |
| 3725F | 0% | 43 | 42 | $0.00 | |
| 3288F | 0% | 16 | 16 | $0.00 | |
| 3077F | 0% | 15 | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 456 | 417 | $0.00 |
| 3008F | 0% | 905 | 807 | $0.00 | |
| 1036F | 0% | 249 | 214 | $0.00 | |
| 3074F | 0% | 558 | 507 | $0.00 |
6 more codes
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.