Pizza, Michael
Pizza, Michael was paid $454K by Medicaid between Jan 2018 and Jul 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoPIZZA, MICHAEL
ACTON, MA 01720
ACTON, MA 01720
33aNPI1093985970assigned 03/06/2008
33bProvider typeAdult Psychiatric/Mental Health Registered Nurse
28Total paid$454K
24GClaims5,967
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Adult Psychiatric/Mental Health Registered Nurse providers in Massachusetts
Rank by total paid#2 of 14
Median peer was paid$63K
This provider vs. median7.1×
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 | 2,376 | $191K | |
| 2019 | 2,252 | $169K | |
| 2020 | 817 | $56K | |
| 2021 | 522 | $38K |
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 | 91% | 5,601 | 5,230 | $414K |
| 99404 | 6.0% | 183 | 183 | $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 | 1.6% | 144 | 143 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 24 | 24 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | 15 | $1K |
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.