Holmes, Michael

Holmes, Michael was paid $9K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoHOLMES, MICHAEL
COOPERSTOWN, NY 13326

33aNPI1114935905assigned 08/04/2006

33bProvider typeInternal Medicine Physician

28Total paid$9K

24GClaims1,539

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#3,235 of 6,049

Median peer was paid$11K

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	274	$719.44
2019	340	$1K
2020	237	$2K
2021	298	$2K
2022	145	$1K
2023	64	$688.82
2024incomplete	181	$1K

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	58%	223	222	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	33%	1,187	1,057	$3K
93000		5.6%	85	85	$511.52
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	2.6%	20	17	$238.90
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)	0%	24	24	$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.