Pallone, Michael

Pallone, Michael was paid $107K by Medicaid between May 2018 and Aug 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoPALLONE, MICHAEL
EASTON, MD 21601

33aNPI1275537722assigned 06/10/2005

33bProvider typePediatrics Physician

28Total paid$107K

24GClaims1,003

24DCodes billed8

24AFirst – last monthMay 2018 – Aug 2020

Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#175 of 306

Median peer was paid$206K

This provider vs. median0.5×

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	387	$30K
2019	492	$54K
2020	124	$23K

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	99%	706	640	$107K
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%	13	13	$567.50
99173		<1%	13	13	$192.50
92551		0%	25	25	$0.00
90686		0%	25	25	$0.00
90734		0%	71	13	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	83	82	$0.00
90715		0%	67	13	$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.