Johnston, Michael

Johnston, Michael was paid $219K by Medicaid between Jan 2018 and Nov 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 64% of everything it billed.

33Billing provider infoJOHNSTON, MICHAEL
NASHVILLE, TN 37232

33aNPI1487698361assigned 06/15/2006

33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician

28Total paid$219K

24GClaims2,108

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Tennessee

Rank by total paid#4 of 9

Median peer was paid$217K

This provider vs. median1.0×

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	859	$88K
2019	761	$78K
2020	488	$52K

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	64%	1,104	980	$140K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	20%	456	419	$44K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	548	501	$35K

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.