DONOVAN JOHN ANDERSON, MD
NPI 1356333058, individual, Mohave Valley, AZ, Family Medicine
- Listed on the CA Medicaid exclusion list since May 24, 2019.
- Medicaid still paid claims in 1 later month, $2,814 in total.
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 |
|---|---|---|---|---|---|---|---|---|
| CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026) | Exact NPI, name verified | May 24, 2019 | still open | 1 | Oct 2019 | Oct 2019 | $3K | $347K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DONOVAN JOHN ANDERSON, MD |
| Type | Individual |
| Status | Active |
| NPI issued | August 18, 2005, last updated July 8, 2007 |
| Practice location | 8700 HIGHWAY 95, Mohave Valley, AZ 86440-8519, 928-768-7113 |
| Specialties | Family Medicine (207Q00000X, primary, license 13491 AZ) |
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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $520K | 100% | $425 | $182 (top 5% from $488) | 93rd percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $811 | 0% | $68 | $81 (top 5% from $170) | too few months to rank | |
| 99239 | Hospital discharge day management, more than 30 minutes | $617 | 0% | $44 | $49 (top 5% from $101) | 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 | $245 | 0% | $4.62 | $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 | JENNIFER MACDONALD Lake Havasu City, AZ, ranked 368 | $2K |
|
| 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.