Hawthorne, Michael

Hawthorne, Michael was paid $15K by Medicaid between Dec 2018 and Sep 2020, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 51% of everything it billed.

33Billing provider infoHAWTHORNE, MICHAEL
NEW YORK, NY 10011

33aNPI1275043077assigned 10/05/2017

33bProvider typeNurse Practitioner

28Total paid$15K

24GClaims3,825

24DCodes billed4

24AFirst – last monthDec 2018 – Sep 2020

Compared with peers

Next to other Nurse Practitioner providers in New York

Rank by total paid#75 of 346

Median peer was paid$1K

This provider vs. median10×

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	29	$81.39
2019	1,132	$3K
2020	2,664	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	51%	1,976	1,568	$8K
99308	Subsequent nursing facility care, per day, straightforward	49%	1,765	1,451	$7K
99497		<1%	54	52	$21.44
99307		0%	30	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.