Physician
Anderson, Michael
Anderson, Michael was paid $66K by Medicaid between Jan 2018 and Aug 2018, across 24 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 52% of everything it billed.
33Billing provider infoANDERSON, MICHAEL
EMPORIA, VA 23847
EMPORIA, VA 23847
33aNPI1538102819assigned 06/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$66K
24GClaims2,413
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#228 of 772
Median peer was paid$13K
This provider vs. median5.0×
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 | 2,413 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 52% | 1,039 | 931 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 275 | 252 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 70 | 70 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 50 | 49 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 51 | 51 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.6% | 112 | 84 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 96 | 91 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 14 | 14 | $993.32 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 150 | 135 | $831.99 |
| 36415 | Collection of venous blood by venipuncture | <1% | 233 | 209 | $458.08 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 50 | 42 | $245.51 |
| 90715 | <1% | 19 | 19 | $210.65 |
12 more codes
| 90700 | <1% | 16 | $179.30 | |
| 90698 | <1% | 19 | $145.75 | |
| 90713 | <1% | 12 | $134.20 | |
| 90670 | <1% | 17 | $123.20 | |
| 99406 | <1% | 15 | $82.56 | |
| 81001 | <1% | 16 | $38.28 | |
| 85018 | <1% | 12 | $34.00 | |
| 1036F | 0% | 76 | $0.00 | |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 14 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 29 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 12 | $0.00 |
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.