Physician
Coleman, Michael
Coleman, Michael was paid $62K by Medicaid between Oct 2020 and May 2022, across 5 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 34% of everything it billed.
33Billing provider infoCOLEMAN, MICHAEL
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1356321731assigned 01/20/2006
33bProvider typeEmergency Medicine Physician
28Total paid$62K
24GClaims1,662
24DCodes billed5
24AFirst – last monthOct 2020 – May 2022
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#368 of 1,211
Median peer was paid$19K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 222 | $9K | |
| 2021 | 1,176 | $43K | |
| 2022 | 264 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 34% | 773 | 763 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 373 | 365 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 21% | 376 | 371 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 98 | 97 | $8K |
| 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 | 4.6% | 42 | 42 | $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.