Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Holton, Michelle

Holton, Michelle was paid $93K by Medicaid between Oct 2022 and Aug 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoHOLTON, MICHELLE
PALMER, MA 01069
33aNPI1518427392assigned 03/20/2019
28Total paid$93K
24GClaims1,014
24DCodes billed4
24AFirst – last monthOct 2022 – Aug 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#99 of 618
Median peer was paid$8K
This provider vs. median11×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2022322$32K
2023648$57K
2024incomplete44$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 62% 442 424 $58K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 30% 384 378 $28K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.5% 164 156 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 24 22 $468.97

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.