Physician
De Jesus, Michael
De Jesus, Michael was paid $2K by Medicaid between Sep 2021 and Apr 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoDE JESUS, MICHAEL
BEAVER FALLS, PA 15010
BEAVER FALLS, PA 15010
33aNPI1417903311assigned 05/25/2006
33bProvider typeGastroenterology Physician
28Total paid$2K
24GClaims58
24DCodes billed2
24AFirst – last monthSep 2021 – Apr 2023
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#131 of 178
Median peer was paid$6K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 12 | $281.85 | |
| 2022 | 32 | $1K | |
| 2023 | 14 | $462.00 |
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 | 74% | 43 | 41 | $1K |
| 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 | 26% | 15 | 15 | $478.88 |
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.