Plance, Donald

Plance, Donald was paid $40K by Medicaid between Jan 2018 and Apr 2022, across 2 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 99% of everything it billed.

33Billing provider infoPLANCE, DONALD
MONTROSE, CA 91020

33aNPI1942318134assigned 08/28/2006

33bProvider typeFamily Medicine Physician

28Total paid$40K

24GClaims2,245

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#921 of 2,511

Median peer was paid$13K

This provider vs. median3.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/20/2024).

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	802	$12K
2019	580	$11K
2020	478	$10K
2021	307	$6K
2022	78	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	99%	2,219	2,130	$40K
99307		<1%	26	26	$250.14

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.