JENNIFER MACDONALD
NPI 1144605528, individual, Lake Havasu City, AZ, Nurse Practitioner
- Listed on the Medicare revocation list since October 3, 2020.
- Medicaid still paid claims in 2 later months, $1,967 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(10) failure to document | Exact NPI, name verified | Oct 3, 2020 | Oct 2, 2030 | 2 | Nov 2020 | Dec 2020 | $2K | $1K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JENNIFER MACDONALD |
| Type | Individual |
| Status | Active |
| NPI issued | July 27, 2015, last updated January 22, 2019 |
| Practice location | 979 ROLLING HILLS DR, Lake Havasu City, AZ 86406-8575, 207-907-9270 |
| Mailing address | PO BOX 1599, PENOBSCOT COMMUNITY HEALTH CENTER, Bangor, ME 04402-1599 |
| Specialties | Registered Nurse (163W00000X, license RN62458 ME) Nurse Practitioner, Family (363LF0000X, license AP10815 AZ) Nurse Practitioner (363L00000X, primary, license CNP151091 ME) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $3K | 62% | $69 | $60 (top 5% from $133) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2K | 38% | $43 | $44 (top 5% from $110) | too few months to rank |
In this area
15 providers in Mohave County, AZ carry an indicator in the public record, with $8.9M at stake between them. The most common is part of a provider network, on 9 of them, followed by paid after a public list action on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MICHAEL SHING Bullhead City, AZ, ranked 242 | $21K |
|
| 1 | DONOVAN ANDERSON Mohave Valley, AZ, ranked 351 | $3K |
|
| 3 | ARIZONA IN-HOME PARTNER-II, LLC Bullhead City, AZ, ranked 2306 | $0 |
|
| 3 | ST THERESA HOSPICE LLC Bullhead City, AZ, ranked 3122 | $0 |
|
| 3 | V A HOME HEALTH 2 INC Bullhead City, AZ, ranked 3692 | $0 |
|
| 3 | BILLET HOSPICE INC - BULLHEAD CITY Bullhead City, AZ, ranked 5375 | $0 |
|
| 3 | FAMILY CARE HOME HEALTH & HOSPICE Bullhead City, AZ, ranked 5794 | $0 |
|
| 3 | NEW HOPE HOSPICE OF ARIZONA, INC. Lake Havasu City, AZ, ranked 5827 | $0 |
|
Recent enforcement in AZ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.