Michael Family Practice PLLC

Michael Family Practice PLLC was paid $31K by Medicaid between Jan 2018 and Jan 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoMICHAEL FAMILY PRACTICE PLLC
BERKELEY SPRINGS, WV 25411

33aNPI1487927141assigned 02/10/2012

33bProvider typeFamily Medicine Physician

28Total paid$31K

24GClaims714

24DCodes billed3

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Family Medicine Physician providers in West Virginia

Rank by total paid#147 of 202

Median peer was paid$172K

This provider vs. median0.2×

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	528	$22K
2019	153	$7K
2020	33	$2K

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	51%	345	312	$16K
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	43%	260	236	$13K
36415	Collection of venous blood by venipuncture	5.6%	109	102	$2K

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.

From NPPES

Who's on the registration

Authorized officialMICHAEL, AMANDA (PHYSICIAN)