Donaldson, Mark

Donaldson, Mark was paid $20K by Medicaid between Jan 2018 and Oct 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoDONALDSON, MARK
PROVO, UT 84604

33aNPI1982662102assigned 05/04/2006

33bProvider typeDermatology Physician

28Total paid$20K

24GClaims450

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Dermatology Physician providers in Utah

Rank by total paid#19 of 46

Median peer was paid$11K

This provider vs. median1.8×

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	409	$19K
2019	12	$386.32
2020	29	$1K

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	60%	253	243	$12K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	27%	118	118	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	79	66	$3K

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.