Luke, Michael

Luke, Michael was paid $30K by Medicaid between Apr 2018 and Aug 2023, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 91% of everything it billed.

33Billing provider infoLUKE, MICHAEL
NORTH SMITHFIELD, RI 02896

33aNPI1083679286assigned 04/19/2006

33bProvider typeSurgery Physician

28Total paid$30K

24GClaims318

24DCodes billed2

24AFirst – last monthApr 2018 – Aug 2023

Compared with peers

Next to other Surgery Physician providers in Rhode Island

Rank by total paid#16 of 32

Median peer was paid$15K

This provider vs. median2.0×

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	137	$12K
2019	85	$9K
2020	15	$1K
2021	13	$1K
2022	26	$2K
2023	42	$4K

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	91%	258	210	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.3%	60	42	$3K

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.