Machen, Michael

Machen, Michael was paid $7K by Medicaid between Mar 2018 and Feb 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoMACHEN, MICHAEL
SALT LAKE CITY, UT 84113

33aNPI1366418386assigned 02/28/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$7K

24GClaims129

24DCodes billed3

24AFirst – last monthMar 2018 – Feb 2021

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Utah

Rank by total paid#17 of 31

Median peer was paid$15K

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	15	$909.12
2019	28	$912.12
2020	54	$3K
2021	32	$2K

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	45%	47	44	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	31%	70	70	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	24%	12	12	$2K

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.