NP / PA
Root, Donald
Root, Donald was paid $234K by Medicaid between Nov 2020 and Oct 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoROOT, DONALD
BROOKVILLE, PA 15825
BROOKVILLE, PA 15825
33aNPI1942657333assigned 05/16/2016
33bProvider typePhysician Assistant
28Total paid$234K
24GClaims6,412
24DCodes billed12
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#31 of 511
Median peer was paid$7K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2020 | 42 | $4K | |
| 2021 | 1,289 | $54K | |
| 2022 | 1,879 | $62K | |
| 2023 | 1,926 | $65K | |
| 2024incomplete | 1,276 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,542 | 2,359 | $234K |
| 3008F | 0% | 822 | 814 | $0.00 | |
| 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 | 0% | 348 | 338 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,226 | 1,135 | $0.00 |
| 92551 | 0% | 12 | 12 | $0.00 | |
| 3074F | 0% | 66 | 65 | $0.00 | |
| 1159F | 0% | 597 | 579 | $0.00 | |
| 1160F | 0% | 594 | 576 | $0.00 | |
| 3078F | 0% | 111 | 108 | $0.00 | |
| 3725F | 0% | 66 | 66 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 16 | 16 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | 12 | $0.00 |
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.