Flais, Michael

Flais, Michael was paid $2K by Medicaid between Feb 2019 and Oct 2019, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 49% of everything it billed.

33Billing provider infoFLAIS, MICHAEL
ORLAND PARK, IL 60467

33aNPI1003899808assigned 11/25/2005

33bProvider typeAllergy Physician

28Total paid$2K

24GClaims46

24DCodes billed3

24AFirst – last monthFeb 2019 – Oct 2019

Compared with peers

Next to other Allergy Physician providers in Illinois

Rank by total paid#16 of 21

Median peer was paid$22K

This provider vs. median0.1×

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
2019	46	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	49%	15	14	$1K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	30%	17	16	$635.80
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	14	14	$441.53

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.