NP / PA
Gibson, Michael
Gibson, Michael was paid $165K by Medicaid between Jan 2018 and Mar 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.
33Billing provider infoGIBSON, MICHAEL
PROVO, UT 84604
PROVO, UT 84604
33aNPI1013122548assigned 05/10/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$165K
24GClaims3,553
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Utah
Rank by total paid#1 of 22
Median peer was paid$9K
This provider vs. median19×
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 | 1,292 | $59K | |
| 2019 | 1,205 | $54K | |
| 2020 | 944 | $44K | |
| 2021 | 112 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 97% | 2,175 | 2,052 | $159K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 535 | 523 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 271 | 262 | $613.76 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 72 | 71 | $306.55 |
| 90686 | <1% | 113 | 112 | $239.92 | |
| 99051 | <1% | 120 | 119 | $161.09 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | 15 | $153.93 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 46 | 39 | $110.75 |
| 90473 | <1% | 15 | 15 | $87.12 | |
| 99177 | <1% | 148 | 146 | $77.56 | |
| 90672 | <1% | 16 | 16 | $58.08 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 15 | 15 | $0.00 |
1 more codes
| 90698 | 0% | 12 | $0.00 |
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.