Physician
Baney, Micalyn
Baney, Micalyn was paid $195K by Medicaid between Sep 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoBANEY, MICALYN
WATERFORD, PA 16441
WATERFORD, PA 16441
33aNPI1467579011assigned 03/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$195K
24GClaims12,851
24DCodes billed21
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#376 of 2,756
Median peer was paid$19K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2020 | 361 | $6K | |
| 2021 | 3,108 | $43K | |
| 2022 | 3,420 | $51K | |
| 2023 | 2,866 | $49K | |
| 2024incomplete | 3,096 | $46K |
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 | 78% | 4,772 | 4,267 | $151K |
| 98928 | 6.1% | 305 | 236 | $12K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.8% | 487 | 486 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 62 | 62 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 161 | 160 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 62 | 62 | $5K |
| 92551 | 1.3% | 540 | 540 | $3K | |
| 99173 | 1.2% | 563 | 563 | $2K | |
| 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 | <1% | 28 | 28 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 90688 | <1% | 181 | 125 | $1K | |
| 90686 | <1% | 111 | 111 | $1K |
9 more codes
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.