Pedone, Michael

Pedone, Michael was paid $102K by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoPEDONE, MICHAEL
ALTOONA, PA 16602

33aNPI1013968734assigned 05/15/2006

33bProvider typeFamily Medicine Physician

28Total paid$102K

24GClaims2,742

24DCodes billed6

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#622 of 2,756

Median peer was paid$19K

This provider vs. median5.3×

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
2020	77	$3K
2021	579	$23K
2022	545	$23K
2023	697	$26K
2024incomplete	844	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	53%	1,155	1,106	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	1,439	1,321	$47K
90682		<1%	16	14	$476.00
G0008	Administration of influenza virus vaccine	<1%	42	40	$341.00
3078F		<1%	28	28	$0.01
3061F		0%	62	57	$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.