Hughes, Michael

Hughes, Michael was paid $6K by Medicaid between Jan 2018 and May 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoHUGHES, MICHAEL
FRUITA, CO 81521

33aNPI1366525230assigned 10/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$6K

24GClaims184

24DCodes billed3

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#380 of 532

Median peer was paid$35K

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	184	$6K

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	55%	57	47	$3K
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	45%	37	33	$3K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	90	73	$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.