Prucha, Michael

Prucha, Michael was paid $373K by Medicaid between Jul 2018 and Nov 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.

33Billing provider infoPRUCHA, MICHAEL
PROVIDENCE, RI 02903

33aNPI1578975306assigned 05/28/2014

33bProvider typeEmergency Medicine Physician

28Total paid$373K

24GClaims2,319

24DCodes billed3

24AFirst – last monthJul 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Rhode Island

Rank by total paid#35 of 188

Median peer was paid$94K

This provider vs. median4.0×

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	67	$5K
2019	111	$30K
2020	286	$59K
2021	464	$96K
2022	325	$42K
2023	593	$76K
2024incomplete	473	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	50%	1,259	1,216	$188K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	44%	924	885	$165K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.4%	136	126	$20K

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.