Michael, Marcia

Michael, Marcia was paid $16K by Medicaid between Feb 2021 and Sep 2023, across 6 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 44% of everything it billed.

33Billing provider infoMICHAEL, MARCIA
JAMAICA, NY 11413

33aNPI1407056435assigned 07/18/2007

33bProvider typeNurse Practitioner

28Total paid$16K

24GClaims2,616

24DCodes billed6

24AFirst – last monthFeb 2021 – Sep 2023

Compared with peers

Next to other Nurse Practitioner providers in New York

Rank by total paid#72 of 346

Median peer was paid$1K

This provider vs. median11×

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
2021	974	$5K
2022	1,089	$6K
2023	553	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	44%	1,158	1,098	$7K
99309	Subsequent nursing facility care, per day, low to moderate complexity	31%	744	694	$5K
99305		11%	151	150	$2K
99307		10%	509	464	$2K
99306	Prolong nursin fac eval 15m	4.1%	42	42	$663.46
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	12	12	$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.