Pendleton, Michael

Pendleton, Michael was paid $16K by Medicaid between Mar 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoPENDLETON, MICHAEL
GLASGOW, KY 42141

33aNPI1053640698assigned 12/10/2009

33bProvider typeFamily Nurse Practitioner

28Total paid$16K

24GClaims729

24DCodes billed7

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#223 of 424

Median peer was paid$19K

This provider vs. median0.8×

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	324	$10K
2024incomplete	405	$6K

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	60%	235	188	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	222	190	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	13	$133.45
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	135	113	$0.56
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	63	56	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	27	24	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	33	26	$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.