Physician
Michael R Nicholson MD PLLC
Michael R Nicholson MD PLLC was paid $15K by Medicaid between Jan 2018 and Feb 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMICHAEL R NICHOLSON MD PLLC
WATERFORD, MI 48327
WATERFORD, MI 48327
33aNPI1295881373assigned 01/25/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$15K
24GClaims425
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#121 of 173
Median peer was paid$66K
This provider vs. median0.2×
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 | 425 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 148 | 130 | $6K |
| 76818 | 34% | 77 | 49 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 15% | 30 | 29 | $2K |
| 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 | 7.0% | 18 | 18 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 3.6% | 24 | 24 | $549.32 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 16 | 16 | $211.54 |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 66 | 63 | $165.96 |
| 81025 | <1% | 16 | 16 | $75.84 | |
| 0502F | 0% | 30 | 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.
From NPPES
Who's on the registration
Authorized officialNICHOLSON, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Grant Park Community Unit District 6 | Grant Park, IL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.