Physician
Michalsen, Thomas
Michalsen, Thomas was paid $197K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 80% of everything it billed.
33Billing provider infoMICHALSEN, THOMAS
KIRKLAND, IL 60146
KIRKLAND, IL 60146
33aNPI1114947876assigned 07/19/2006
33bProvider typeGeneral Practice Physician
28Total paid$197K
24GClaims12,144
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Illinois
Rank by total paid#14 of 74
Median peer was paid$24K
This provider vs. median8.1×
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 | 1,583 | $17K | |
| 2019 | 1,710 | $20K | |
| 2020 | 1,832 | $28K | |
| 2021 | 2,324 | $44K | |
| 2022 | 2,012 | $30K | |
| 2023 | 1,427 | $25K | |
| 2024incomplete | 1,256 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 80% | 9,047 | 8,473 | $157K |
| 99306 | Prolong nursin fac eval 15m | 14% | 655 | 616 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 403 | 381 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 67 | 28 | $5K |
| 1100F | 0% | 105 | 102 | $0.00 | |
| 0518F | 0% | 194 | 159 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,412 | 1,239 | $0.00 |
| 1090F | 0% | 37 | 37 | $0.00 | |
| 3288F | 0% | 34 | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | 13 | $0.00 |
| 1036F | 0% | 176 | 163 | $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.