Physician
Klufas, Michael
Klufas, Michael was paid $6.10M by Medicaid between Mar 2018 and Aug 2024, across 5 billing codes. Its largest line is T2046, Hospice long term care, room and board only; per diem — 99% of everything it billed.
33Billing provider infoKLUFAS, MICHAEL
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1205822277assigned 09/23/2005
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$6.10M
24GClaims3,324
24DCodes billed5
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Rhode Island
Rank by total paid#2 of 15
Median peer was paid$17K
This provider vs. median367×
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 | 273 | $104K | |
| 2019 | 83 | $56K | |
| 2020 | 683 | $1.27M | |
| 2021 | 892 | $1.57M | |
| 2022 | 431 | $1.10M | |
| 2023 | 698 | $1.41M | |
| 2024incomplete | 264 | $587K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 99% | 2,420 | 1,059 | $6.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 684 | 617 | $32K |
| 99307 | <1% | 163 | 159 | $3K | |
| 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 | <1% | 44 | 42 | $2K |
| 99305 | <1% | 13 | 13 | $1K |
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.