Physician
Padilla, Michael
Padilla, Michael was paid $38K by Medicaid between Jan 2018 and Oct 2018, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPADILLA, MICHAEL
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
33aNPI1548228182assigned 05/03/2006
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims1,215
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#372 of 817
Median peer was paid$29K
This provider vs. median1.3×
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 | 1,215 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 192 | 178 | $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 | 35% | 249 | 236 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 45 | 29 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.9% | 140 | 70 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 16 | 16 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 85 | 82 | $1K |
| 90686 | 1.8% | 54 | 53 | $692.67 | |
| 87081 | 1.5% | 80 | 77 | $565.47 | |
| 90734 | 1.4% | 16 | 16 | $537.06 | |
| 90651 | <1% | 12 | 12 | $313.64 | |
| 81002 | <1% | 99 | 75 | $230.14 | |
| 90633 | <1% | 24 | 13 | $226.92 |
5 more codes
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.