Mlecko, Michael

Mlecko, Michael was paid $11K by Medicaid between Jun 2021 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoMLECKO, MICHAEL
WEXFORD, PA 15090

33aNPI1487644720assigned 10/27/2005

33bProvider typeGastroenterology Physician

28Total paid$11K

24GClaims263

24DCodes billed3

24AFirst – last monthJun 2021 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#72 of 178

Median peer was paid$6K

This provider vs. median1.9×

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	35	$2K
2022	84	$3K
2023	40	$1K
2024incomplete	104	$5K

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	56%	181	181	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	63	27	$4K
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	9.0%	19	19	$962.76

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.