Michael J Moutsatson DO PLLC

Michael J Moutsatson DO PLLC was paid $110K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoMICHAEL J MOUTSATSON DO PLLC
MOUNT PLEASANT, MI 48858

33aNPI1346422862assigned 11/27/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$110K

24GClaims2,347

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Michigan

Rank by total paid#29 of 98

Median peer was paid$28K

This provider vs. median3.9×

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	361	$17K
2019	484	$21K
2020	202	$9K
2021	292	$15K
2022	267	$15K
2023	316	$19K
2024incomplete	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	58%	1,425	1,295	$64K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	35%	652	649	$39K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.6%	67	66	$6K
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	<1%	12	12	$950.20
M1207	Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety	<1%	73	72	$0.12
G9969	Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred	0%	92	92	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	26	26	$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 officialMOUTSATSON, MICHAEL (MEMBER)