Ambrose, Michael
Ambrose, Michael was paid $27K by Medicaid between Jan 2018 and Sep 2023, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 55% of everything it billed.
33Billing provider infoAMBROSE, MICHAEL
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1538398680assigned 07/10/2009
33bProvider typeChiropractor
28Total paid$27K
24GClaims595
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Chiropractor providers in Illinois
Rank by total paid#12 of 54
Median peer was paid$3K
This provider vs. median8.4×
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 | 138 | $4K | |
| 2019 | 46 | $1K | |
| 2020 | 13 | $382.62 | |
| 2021 | 109 | $6K | |
| 2022 | 159 | $8K | |
| 2023 | 130 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 55% | 289 | 138 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 197 | 157 | $5K |
| 99223 | Prolong inpt eval add15 m | 14% | 41 | 40 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.9% | 38 | 37 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 15 | 12 | $537.92 |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 15 | 15 | $524.76 |
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.