Physician
Messina, Michael
Messina, Michael was paid $1.40M by Medicaid between Nov 2020 and Dec 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMESSINA, MICHAEL
SHARON, PA 16146
SHARON, PA 16146
33aNPI1265409841assigned 03/02/2006
33bProvider typePediatrics Physician
28Total paid$1.40M
24GClaims14,215
24DCodes billed21
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#70 of 1,257
Median peer was paid$45K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2020 | 297 | $31K | |
| 2021 | 3,538 | $296K | |
| 2022 | 3,440 | $316K | |
| 2023 | 3,629 | $366K | |
| 2024incomplete | 3,311 | $391K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 6,545 | 6,087 | $1.40M |
| 90734 | <1% | 27 | 27 | $142.67 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 566 | 566 | $0.00 |
| 90633 | 0% | 25 | 25 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,581 | 2,452 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 320 | 319 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 634 | 633 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 166 | 166 | $0.00 |
| 90710 | 0% | 25 | 25 | $0.00 | |
| 90670 | 0% | 108 | 107 | $0.00 | |
| 90685 | 0% | 42 | 42 | $0.00 | |
| 90715 | 0% | 14 | 14 | $0.00 |
9 more codes
| 90686 | 0% | 502 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 340 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,010 | $0.00 |
| 3008F | 0% | 1,109 | $0.00 | |
| 90677 | 0% | 66 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 90651 | 0% | 81 | $0.00 | |
| 90697 | 0% | 26 | $0.00 | |
| 90619 | 0% | 14 | $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.