Cirone, Michael

Cirone, Michael was paid $172K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 60% of everything it billed.

33Billing provider infoCIRONE, MICHAEL
OAK LAWN, IL 60453

33aNPI1003221490assigned 06/24/2014

33bProvider typeEmergency Medicine Physician

28Total paid$172K

24GClaims3,250

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#887 of 1,980

Median peer was paid$150K

This provider vs. median1.1×

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	813	$33K
2019	971	$43K
2020	564	$27K
2021	199	$15K
2022	137	$9K
2023	271	$21K
2024incomplete	295	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	60%	1,628	1,450	$104K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	28%	970	854	$48K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	639	587	$20K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	13	13	$356.83

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.