Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Cumberland › NPI 1205822277
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
33aNPI1205822277assigned 09/23/2005
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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2018273$104K
201983$56K
2020683$1.27M
2021892$1.57M
2022431$1.10M
2023698$1.41M
2024incomplete264$587K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.