Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Michelle Randolph MD PC

Michelle Randolph MD PC was paid $20K by Medicaid between Jan 2018 and Jul 2022, across 4 billing codes. Its largest line is G0500, Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) — 60% of everything it billed.

33Billing provider infoMICHELLE RANDOLPH MD PC
ANCHORAGE, AK 99508
33aNPI1578806436assigned 03/29/2013
28Total paid$20K
24GClaims366
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Medical Specialty Clinic/Center providers in Alaska

Rank by total paid#8 of 9
Median peer was paid$421K
This provider vs. median0.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018189$8K
2019133$10K
202112$605.88
202232$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 60% 321 238 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21% 13 12 $4K
99243 13% 15 13 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 17 14 $1K

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.

From NPPES

Who's on the registration

Authorized officialRANDOLPH, MICHELLE (PRESIDENT)