Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Michael R Dibenedetto MD PLLC

Michael R Dibenedetto MD PLLC was paid $236K by Medicaid between Jun 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoMICHAEL R DIBENEDETTO MD PLLC
PONDERAY, ID 83852
33aNPI1083809727assigned 09/06/2007
28Total paid$236K
24GClaims4,544
24DCodes billed7
24AFirst – last monthJun 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
201875$4K
201934$2K
20201,183$62K
20211,493$66K
20221,030$56K
2023453$29K
2024incomplete276$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 2,419 1,744 $99K
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 40% 1,366 1,202 $95K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 418 412 $31K
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 2.5% 43 43 $6K
73630 <1% 119 100 $2K
11721 <1% 130 126 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 49 47 $674.79

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.

From NPPES

Who's on the registration

Authorized officialGARMAN, DANIEL (PRACTICE MANAGER)