Pilz, Michael

Pilz, Michael was paid $324K by Medicaid between Feb 2018 and Mar 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoPILZ, MICHAEL
NEWBURYPORT, MA 01950

33aNPI1134167406assigned 06/02/2006

33bProvider typePediatrics Physician

28Total paid$324K

24GClaims8,638

24DCodes billed23

24AFirst – last monthFeb 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#207 of 1,273

Median peer was paid$24K

This provider vs. median14×

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	647	$29K
2019	972	$39K
2020	1,159	$46K
2021	2,144	$75K
2022	3,064	$109K
2023	652	$25K

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	32%	1,887	1,692	$102K
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	21%	822	751	$67K
90460	Immunization administration through 18 years of age via any route, first or only component	13%	2,071	1,151	$41K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	9.7%	634	587	$32K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.1%	229	229	$20K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.6%	113	113	$9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.3%	863	862	$8K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.3%	240	231	$7K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.2%	92	92	$7K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.1%	87	85	$7K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.2%	390	390	$4K
90461		1.2%	136	117	$4K

11 more codes

96127		1.0%	312	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	$3K
99177		<1%	376	$2K
87634		<1%	29	$2K
99173		<1%	76	$2K
92587		<1%	42	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	48	$952.32
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	12	$887.10
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	69	$790.74
0072A		<1%	17	$756.50
0071A		<1%	12	$534.00

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.