Physician
Chismer, Michael
Chismer, Michael was paid $8K by Medicaid between Jan 2021 and Mar 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.
33Billing provider infoCHISMER, MICHAEL
OAKMONT, PA 15139
OAKMONT, PA 15139
33aNPI1194786087assigned 03/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$8K
24GClaims397
24DCodes billed5
24AFirst – last monthJan 2021 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,760 of 2,756
Median peer was paid$19K
This provider vs. median0.4×
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 | 348 | $6K | |
| 2022 | 17 | $838.04 | |
| 2023 | 32 | $1K |
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 | 96% | 171 | 164 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 12 | 12 | $308.00 |
| 3078F | 0% | 27 | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 122 | 119 | $0.00 |
| 3074F | 0% | 65 | 64 | $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.