Physician
Davies, Michael
Davies, Michael was paid $613K by Medicaid between Jun 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoDAVIES, MICHAEL
HOLLIDAYSBURG, PA 16648
HOLLIDAYSBURG, PA 16648
33aNPI1588651087assigned 09/30/2005
33bProvider typeAllergy & Immunology Physician
28Total paid$613K
24GClaims14,346
24DCodes billed14
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Pennsylvania
Rank by total paid#5 of 45
Median peer was paid$46K
This provider vs. median13×
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 | 34 | $1K | |
| 2020 | 490 | $11K | |
| 2021 | 2,609 | $102K | |
| 2022 | 3,713 | $158K | |
| 2023 | 4,130 | $182K | |
| 2024incomplete | 3,370 | $160K |
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 | 31% | 3,484 | 3,432 | $189K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 25% | 797 | 447 | $154K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 966 | 964 | $88K |
| 96401 | 8.8% | 552 | 432 | $54K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 8.1% | 936 | 794 | $49K |
| 95117 | 6.3% | 4,709 | 3,180 | $38K | |
| 94060 | 3.7% | 1,021 | 1,014 | $23K | |
| 95024 | 1.3% | 96 | 93 | $8K | |
| 99072 | <1% | 302 | 242 | $3K | |
| 94760 | <1% | 715 | 711 | $2K | |
| 95115 | <1% | 352 | 232 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 31 | 30 | $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.