Physician
Karp, Michael
Karp, Michael was paid $32K by Medicaid between Dec 2020 and Aug 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoKARP, MICHAEL
SEWICKLEY, PA 15143
SEWICKLEY, PA 15143
33aNPI1548286347assigned 07/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$32K
24GClaims1,349
24DCodes billed9
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,141 of 2,756
Median peer was paid$19K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 40 | $1K | |
| 2021 | 412 | $13K | |
| 2022 | 624 | $12K | |
| 2023 | 160 | $3K | |
| 2024incomplete | 113 | $3K |
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 | 91% | 604 | 586 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 75 | 71 | $3K |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | 14 | $143.00 |
| 3008F | 0% | 167 | 162 | $0.00 | |
| 3074F | 0% | 65 | 64 | $0.00 | |
| 3079F | 0% | 37 | 36 | $0.00 | |
| 99080 | 0% | 350 | 341 | $0.00 | |
| 3078F | 0% | 25 | 25 | $0.00 | |
| 1003F | 0% | 12 | 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.