Physician
Halter, Michael
Halter, Michael was paid $189K by Medicaid between Nov 2020 and Dec 2023, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHALTER, MICHAEL
TYRONE, PA 16686
TYRONE, PA 16686
33aNPI1134199219assigned 01/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$189K
24GClaims1,870
24DCodes billed4
24AFirst – last monthNov 2020 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#383 of 2,756
Median peer was paid$19K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2020 | 134 | $16K | |
| 2021 | 1,114 | $126K | |
| 2022 | 437 | $47K | |
| 2023 | 185 | $115.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 1,382 | 1,297 | $189K |
| 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% | 280 | 275 | $308.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | 15 | $0.00 |
| 3008F | 0% | 193 | 193 | $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.