Sisitsky, Michael

Sisitsky, Michael was paid $722K by Medicaid between Feb 2018 and Aug 2023, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 74% of everything it billed.

33Billing provider infoSISITSKY, MICHAEL
PROVIDENCE, RI 02905

33aNPI1316046063assigned 09/21/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$722K

24GClaims917

24DCodes billed6

24AFirst – last monthFeb 2018 – Aug 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Rhode Island

Rank by total paid#8 of 106

Median peer was paid$8K

This provider vs. median87×

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	219	$85K
2019	14	$811.32
2020	325	$286K
2021	249	$227K
2022	55	$70K
2023	55	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	74%	496	471	$537K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	11%	61	55	$76K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	10%	142	133	$73K
99282	Emergency department visit for the evaluation and management, low to moderate severity	4.3%	107	83	$31K
59025	Fetal non-stress test	<1%	96	57	$3K
81001		<1%	15	15	$3K

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.