Hughes, Michelle

Hughes, Michelle was paid $15K by Medicaid between Jul 2019 and May 2020, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.

33Billing provider infoHUGHES, MICHELLE
MADISON, WI 53792

33aNPI1427404128assigned 05/11/2016

33bProvider typeEmergency Medicine Physician

28Total paid$15K

24GClaims490

24DCodes billed5

24AFirst – last monthJul 2019 – May 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Wisconsin

Rank by total paid#94 of 230

Median peer was paid$7K

This provider vs. median2.0×

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
2019	205	$6K
2020	285	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	42%	109	108	$6K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	26%	95	93	$4K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	73	69	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	12%	190	174	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	4.1%	23	23	$595.32

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.