O'brien, Michael

O'brien, Michael was paid $52K by Medicaid between Jan 2018 and Nov 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoO'BRIEN, MICHAEL
LA FOLLETTE, TN 37766

33aNPI1528037710assigned 03/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$52K

24GClaims1,604

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#35 of 75

Median peer was paid$42K

This provider vs. median1.2×

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	637	$21K
2019	591	$21K
2020	376	$11K

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	39%	602	546	$20K
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	25%	291	254	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	20%	182	167	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.2%	207	184	$5K
73562		3.5%	112	94	$2K
20610		2.0%	39	36	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	121	114	$454.24
73130		<1%	16	13	$265.52
73030		<1%	18	13	$236.70
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	16	15	$55.69

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.