Physician
Michel, John
Michel, John was paid $1.49M by Medicaid between Jun 2020 and Dec 2024, across 63 billing codes. Its largest line is G2087, Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month — 23% of everything it billed.
33Billing provider infoMICHEL, JOHN
PHILADELPHIA, PA 19150
PHILADELPHIA, PA 19150
33aNPI1164697124assigned 04/29/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.49M
24GClaims45,807
24DCodes billed63
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#16 of 1,726
Median peer was paid$6K
This provider vs. median231×
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 | 3,080 | $120K | |
| 2021 | 20,063 | $802K | |
| 2022 | 6,947 | $229K | |
| 2023 | 7,413 | $171K | |
| 2024incomplete | 8,304 | $174K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 23% | 1,168 | 1,036 | $351K |
| 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 | 22% | 5,958 | 5,488 | $325K |
| G9012 | Other specified case management service not elsewhere classified | 19% | 1,368 | 1,231 | $287K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 14% | 6,729 | 3,477 | $214K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 1,414 | 1,275 | $79K |
| 99484 | 4.4% | 2,176 | 2,132 | $66K | |
| S9470 | Nutritional counseling, dietitian visit | 3.1% | 1,619 | 1,508 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.1% | 1,196 | 745 | $31K |
| 93923 | 1.2% | 251 | 249 | $17K | |
| 99406 | <1% | 933 | 826 | $12K | |
| 99348 | <1% | 552 | 510 | $10K | |
| 99483 | Prolong outpt/office vis | <1% | 225 | 211 | $8K |
51 more codes
| 99335 | <1% | 115 | $8K | |
| 94010 | <1% | 226 | $5K | |
| 99491 | Ccm add 20min | <1% | 70 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 44 | $4K |
| 99305 | <1% | 90 | $3K | |
| 99408 | <1% | 317 | $3K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 19 | $2K |
| 96160 | <1% | 744 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 90674 | <1% | 36 | $1K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 23 | $1K |
| 96127 | <1% | 357 | $1K | |
| 99447 | <1% | 39 | $1K | |
| 92250 | <1% | 28 | $988.52 | |
| 99497 | <1% | 27 | $743.46 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 47 | $661.28 |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | <1% | 32 | $528.00 |
| 99050 | <1% | 45 | $525.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $242.56 |
| 82962 | <1% | 240 | $234.22 | |
| 99457 | <1% | 83 | $131.55 | |
| 3079F | <1% | 2,458 | $100.02 | |
| 3074F | <1% | 1,921 | $60.01 | |
| 3078F | <1% | 1,506 | $50.01 | |
| 90756 | <1% | 34 | $44.00 | |
| 82947 | <1% | 12 | $39.60 | |
| 3008F | <1% | 5,393 | $20.02 | |
| 3075F | <1% | 820 | $20.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $11.00 |
| 3044F | <1% | 212 | $10.00 | |
| 1159F | <1% | 1,009 | $0.01 | |
| 1160F | 0% | 965 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 473 | $0.00 |
| 4013F | 0% | 205 | $0.00 | |
| 4025F | 0% | 12 | $0.00 | |
| 3725F | 0% | 46 | $0.00 | |
| 3077F | 0% | 27 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 82 | $0.00 |
| 1125F | 0% | 1,275 | $0.00 | |
| 1126F | 0% | 615 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 649 | $0.00 |
| 1036F | 0% | 1,122 | $0.00 | |
| 3048F | 0% | 28 | $0.00 | |
| 4037F | 0% | 91 | $0.00 | |
| 4015F | 0% | 81 | $0.00 | |
| 4050F | 0% | 150 | $0.00 | |
| 1130F | 0% | 221 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 59 | $0.00 |
| 1170F | 0% | 67 | $0.00 | |
| 4010F | 0% | 17 | $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.