Toney, Michael

Toney, Michael was paid $20K by Medicaid between Jan 2020 and Jun 2020, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 58% of everything it billed.

33Billing provider infoTONEY, MICHAEL
PIEDMONT, MO 63957

33aNPI1407880099assigned 07/10/2006

33bProvider typeFamily Medicine Physician

28Total paid$20K

24GClaims138

24DCodes billed3

24AFirst – last monthJan 2020 – Jun 2020

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#424 of 911

Median peer was paid$16K

This provider vs. median1.3×

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	138	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	58%	60	60	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	62	54	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.8%	16	15	$561.60

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.