Michelman, Thomas

Michelman, Thomas was paid $29K by Medicaid between Jan 2018 and Dec 2019, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.

33Billing provider infoMICHELMAN, THOMAS
MELROSE, MA 02176

33aNPI1093752214assigned 05/31/2006

33bProvider typeEmergency Medicine Physician

28Total paid$29K

24GClaims167

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#190 of 618

Median peer was paid$8K

This provider vs. median3.5×

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	154	$28K
2019	13	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	43%	64	60	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	18	18	$8K
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	25%	17	17	$7K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	31	31	$287.99
84443	Thyroid stimulating hormone (TSH)	<1%	13	13	$261.17
80053	Comprehensive metabolic panel	<1%	24	24	$216.58

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.