NP / PA
Bowers, Michelle
Bowers, Michelle was paid $484K by Medicaid between Jan 2021 and Jun 2024, across 7 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 78% of everything it billed.
33Billing provider infoBOWERS, MICHELLE
PITTSBURGH, PA 15237
PITTSBURGH, PA 15237
33aNPI1417255993assigned 03/07/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$484K
24GClaims3,686
24DCodes billed7
24AFirst – last monthJan 2021 – Jun 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#35 of 1,075
Median peer was paid$8K
This provider vs. median58×
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 | 681 | $89K | |
| 2022 | 1,519 | $206K | |
| 2023 | 1,214 | $148K | |
| 2024incomplete | 272 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 78% | 1,373 | 1,370 | $376K |
| 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 | 17% | 1,542 | 1,397 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 450 | 439 | $18K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 1.2% | 132 | 126 | $6K |
| 80305 | <1% | 165 | 161 | $2K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 12 | 12 | $2K |
| 96127 | <1% | 12 | 12 | $79.94 |
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.