Charles, Domonique

Charles, Domonique was paid $13K by Medicaid between Oct 2018 and Jun 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoCHARLES, DOMONIQUE
MACON, GA 31201

33aNPI1932588233assigned 05/20/2015

33bProvider typePediatrics Physician

28Total paid$13K

24GClaims417

24DCodes billed4

24AFirst – last monthOct 2018 – Jun 2021

Compared with peers

Next to other Pediatrics Physician providers in Georgia

Rank by total paid#141 of 220

Median peer was paid$57K

This provider vs. median0.2×

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	18	$436.56
2019	167	$6K
2020	148	$4K
2021	84	$2K

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	59%	250	241	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19%	83	82	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	72	72	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.7%	12	12	$872.56

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.