ANDREW DONATO, MD
Emergency Medicine Physician · COLUMBIA, SC
Individual Active NPI 1225064140
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,410 | 37,280 | $3,430,089 | $2,963,888 | $2,318,806 |
| 2023 | 5,282 | 33,523 | $3,508,235 | $2,903,213 | $2,289,187 |
| 2022 | 5,269 | 16,243 | $1,788,286 | $1,483,565 | $1,186,469 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 27,268 | $70 | $57 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 4,166 | $131 | $104 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 2,901 | $122 | $78 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 754 | $16 | $13 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 551 | $47 | $36 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 499 | $54 | $44 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 426 | $61 | $46 |
| 99497 | Advance care planning, first 30 minutes | 252 | $78 | $62 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 147 | $49 | $40 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $87 | $58 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 51 | $123 | $77 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | $128 | $128 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ✓ | 16890 | SC |
| General Practice Physician | 208D00000X | 16890 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Emergency Medicine Physician providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.