Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MICHEL, JOHN

NPI: 1164697124 · PHILADELPHIA, PA 19150 · Internal Medicine Physician · NPI assigned 04/29/2008

$1.49M
Total Medicaid Paid
45,807
Total Claims
39,499
Beneficiaries
63
Codes Billed
2020-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,080 $120K
2021 20,063 $802K
2022 6,947 $229K
2023 7,413 $171K
2024 8,304 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 1,168 1,036 $351K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,958 5,488 $325K
G9012 Other specified case management service not elsewhere classified 1,368 1,231 $287K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,729 3,477 $214K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,414 1,275 $79K
99484 2,176 2,132 $66K
S9470 Nutritional counseling, dietitian visit 1,619 1,508 $47K
99308 Subsequent nursing facility care, per day, straightforward 1,196 745 $31K
93923 251 249 $17K
99406 933 826 $12K
99348 552 510 $10K
99483 Prolong outpt/office vis 225 211 $8K
99335 115 115 $8K
94010 226 225 $5K
99491 Ccm add 20min 70 70 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 40 $5K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 44 40 $4K
99305 90 82 $3K
99408 317 311 $3K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 19 18 $2K
96160 744 716 $2K
99215 Prolong outpt/office vis 16 14 $1K
90674 36 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) 23 22 $1K
96127 357 352 $1K
99447 39 39 $1K
92250 28 28 $988.52
99497 27 24 $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 47 43 $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] 32 27 $528.00
99050 45 41 $525.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $242.56
82962 240 229 $234.22
99457 83 83 $131.55
3079F 2,458 2,300 $100.02
3074F 1,921 1,771 $60.01
3078F 1,506 1,427 $50.01
90756 34 33 $44.00
82947 12 12 $39.60
3008F 5,393 4,958 $20.02
3075F 820 754 $20.00
G0008 Administration of influenza virus vaccine 15 14 $11.00
3044F 212 205 $10.00
1159F 1,009 960 $0.01
1160F 965 919 $0.00
G9920 Screening performed and negative 473 455 $0.00
4013F 205 189 $0.00
4025F 12 12 $0.00
3725F 46 44 $0.00
3077F 27 26 $0.00
G9919 Screening performed and positive and provision of recommendations 82 80 $0.00
1125F 1,275 1,209 $0.00
1126F 615 565 $0.00
36415 Collection of venous blood by venipuncture 649 629 $0.00
1036F 1,122 1,050 $0.00
3048F 28 26 $0.00
4037F 91 88 $0.00
4015F 81 71 $0.00
4050F 150 128 $0.00
1130F 221 181 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 57 $0.00
1170F 67 64 $0.00
4010F 17 17 $0.00