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

Holmes, Michael

Holmes, Michael was paid $389K by Medicaid between Oct 2019 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoHOLMES, MICHAEL
CEDAR PARK, TX 78613
33aNPI1588868152assigned 06/14/2007
33bProvider typePediatrics Physician
28Total paid$389K
24GClaims14,460
24DCodes billed18
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#544 of 1,136
Median peer was paid$329K
This provider vs. median1.2×

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$10K$20K2018201920202021202220232024
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
201930$0.00
20201,244$20K
20215,169$135K
20223,991$114K
20233,385$100K
2024incomplete641$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 2,606 2,415 $125K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 2,720 2,517 $93K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 796 761 $58K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.7% 554 494 $38K
90460 Immunization administration through 18 years of age via any route, first or only component 7.5% 3,358 1,469 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 194 180 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.8% 950 891 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.4% 1,312 1,185 $9K
90461 1.4% 830 696 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 41 40 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 91 82 $2K
90686 <1% 420 399 $19.27
6 more codes
90670 <1% 238 $0.01
90648 0% 227 $0.00
90633 0% 16 $0.00
90681 0% 25 $0.00
90707 0% 12 $0.00
90723 0% 70 $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.