Higgins, Michelle

Higgins, Michelle was paid $22K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 47% of everything it billed.

33Billing provider infoHIGGINS, MICHELLE
LATHAM, NY 12110

33aNPI1194755025assigned 07/04/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$22K

24GClaims3,161

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#286 of 1,582

Median peer was paid$2K

This provider vs. median9.7×

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	113	$2K
2019	122	$2K
2020	14	$234.18
2022	114	$251.88
2023	1,140	$7K
2024incomplete	1,658	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	47%	1,611	593	$10K
99309	Subsequent nursing facility care, per day, low to moderate complexity	26%	1,065	457	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	164	162	$3K
99310	Prolong nursin fac eval 15m	6.7%	82	65	$2K
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	6.7%	85	83	$1K
99307		<1%	48	39	$26.72
99443		0%	73	48	$0.00
99442		0%	33	27	$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.