Michael D Zerafa PLLC

Michael D Zerafa PLLC was paid $221K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoMICHAEL D ZERAFA PLLC
FENTON, MI 48430

33aNPI1417336421assigned 05/22/2015

33bProvider typeFamily Medicine Physician

28Total paid$221K

24GClaims3,051

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#311 of 826

Median peer was paid$98K

This provider vs. median2.3×

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
2018	387	$26K
2019	275	$19K
2020	347	$23K
2021	464	$32K
2022	598	$42K
2023	650	$53K
2024incomplete	330	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	75%	2,135	1,935	$165K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	904	807	$55K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$1K

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.

From NPPES

Who's on the registration

Authorized officialZERAFA, MICHAEL (OWNER/PRESIDENT)