Physician
Palcisko, Michael
Palcisko, Michael was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPALCISKO, MICHAEL
HELENA, MT 59601
HELENA, MT 59601
33aNPI1124094743assigned 02/23/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims20,631
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Montana
Rank by total paid#5 of 16
Median peer was paid$371K
This provider vs. median2.9×
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 | 4,602 | $209K | |
| 2019 | 4,111 | $187K | |
| 2020 | 2,294 | $111K | |
| 2021 | 2,768 | $151K | |
| 2022 | 2,524 | $163K | |
| 2023 | 2,553 | $154K | |
| 2024incomplete | 1,779 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 5,511 | 5,151 | $499K |
| 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 | 13% | 1,068 | 1,038 | $140K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 1,440 | 1,417 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 529 | 497 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 530 | 503 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 467 | 461 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 833 | 785 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 274 | 269 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 1,045 | 1,008 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,665 | 1,534 | $19K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.5% | 129 | 128 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 629 | 603 | $16K |
29 more codes
| 92551 | 1.1% | 1,144 | $12K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 105 | $10K |
| 96127 | <1% | 855 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 299 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 31 | $3K |
| 99072 | <1% | 637 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 75 | $2K |
| 99172 | <1% | 113 | $1K | |
| 80061 | Lipid panel | <1% | 89 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 24 | $1K |
| 90473 | <1% | 52 | $1K | |
| 83655 | <1% | 27 | $403.65 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $385.44 |
| 85018 | <1% | 149 | $384.31 | |
| 90686 | <1% | 1,041 | $184.69 | |
| 90474 | <1% | 12 | $168.96 | |
| 90656 | <1% | 26 | $18.98 | |
| 91307 | <1% | 18 | $0.18 | |
| 91300 | <1% | 14 | $0.14 | |
| 99177 | 0% | 860 | $0.00 | |
| 90670 | 0% | 263 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90633 | 0% | 53 | $0.00 | |
| 90734 | 0% | 63 | $0.00 | |
| 90647 | 0% | 129 | $0.00 | |
| 90651 | 0% | 153 | $0.00 | |
| 90680 | 0% | 89 | $0.00 | |
| 90723 | 0% | 123 | $0.00 | |
| 90677 | 0% | 13 | $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.