Rafati, Michael

Rafati, Michael was paid $156K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 38% of everything it billed.

33Billing provider infoRAFATI, MICHAEL
CARBONDALE, IL 62901

33aNPI1467512848assigned 12/08/2006

33bProvider typeInternal Medicine Physician

28Total paid$156K

24GClaims3,726

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#494 of 3,722

Median peer was paid$26K

This provider vs. median6.0×

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
2018	1,035	$38K
2019	1,238	$47K
2020	944	$42K
2021	13	$24.38
2023	205	$9K
2024incomplete	291	$19K

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	38%	1,115	1,017	$59K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	1,172	1,004	$54K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	26%	1,259	1,131	$40K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	62	61	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	84	58	$714.17
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	34	32	$583.61

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.