Physician
Miceli, James
Miceli, James was paid $70K by Medicaid between Sep 2021 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoMICELI, JAMES
HAWTHORNE, NY 10532
HAWTHORNE, NY 10532
33aNPI1144546706assigned 04/07/2010
33bProvider typeInternal Medicine Physician
28Total paid$70K
24GClaims1,292
24DCodes billed6
24AFirst – last monthSep 2021 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,487 of 6,049
Median peer was paid$11K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2021 | 229 | $15K | |
| 2022 | 1,031 | $54K | |
| 2024incomplete | 32 | $866.82 |
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 | 94% | 571 | 566 | $66K |
| 80053 | Comprehensive metabolic panel | 2.2% | 157 | 157 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 192 | 192 | $1K |
| 86140 | 1.3% | 204 | 204 | $940.18 | |
| 86160 | <1% | 26 | 13 | $312.00 | |
| 85652 | <1% | 142 | 142 | $30.03 |
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.