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

Higginbotham, Michael

Higginbotham, Michael was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoHIGGINBOTHAM, MICHAEL
ROCKPORT, AR 72104
33aNPI1619992377assigned 07/13/2006
28Total paid$1.60M
24GClaims73,579
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Arkansas

Rank by total paid#11 of 437
Median peer was paid$70K
This provider vs. median23×

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$20K$40K$60K2018201920202021202220232024
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
20188,880$271K
20197,357$209K
20205,378$159K
202115,225$305K
202217,787$264K
202311,352$226K
2024incomplete7,600$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 19,247 16,037 $660K
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% 9,665 8,394 $516K
71046 Radiologic examination, chest; 2 views 4.2% 2,545 2,278 $67K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2.6% 465 429 $42K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.5% 374 363 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.3% 787 694 $37K
87631 2.1% 411 374 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 615 560 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 549 494 $28K
95117 1.5% 1,760 683 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,330 1,233 $14K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 256 228 $13K
67 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 215 $12K
99203 Doctor's office visit, new patient (routine) <1% 214 $10K
71020 <1% 218 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 286 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 127 $6K
74019 <1% 167 $5K
93000 <1% 332 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 547 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 30 $4K
36415 Collection of venous blood by venipuncture <1% 2,735 $4K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit <1% 2,405 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 92 $3K
90734 <1% 313 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 154 $3K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 26 $2K
90670 <1% 201 $2K
94060 <1% 41 $2K
81002 <1% 818 $2K
99406 <1% 283 $2K
90656 <1% 179 $2K
96127 <1% 445 $1K
90715 <1% 113 $1K
Q3014 Telehealth originating site facility fee <1% 330 $777.84
90686 <1% 65 $770.70
82962 <1% 653 $561.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 45 $513.02
90633 <1% 57 $489.00
81025 <1% 77 $424.41
94760 <1% 89 $400.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 160 $353.09
90710 <1% 29 $280.00
90648 <1% 27 $263.40
71045 Radiologic examination, chest; single view <1% 15 $229.50
1159F <1% 10,332 $216.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 276 $74.91
81003 <1% 28 $55.29
83036 Hemoglobin; glycosylated (A1C) <1% 39 $41.61
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 36 $24.14
3075F <1% 767 $16.79
3074F <1% 1,937 $16.77
82044 <1% 12 $8.13
3079F <1% 1,238 $0.03
3078F <1% 1,635 $0.02
1126F 0% 1,658 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 598 $0.00
1125F 0% 2,465 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 0% 167 $0.00
1034F 0% 45 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 228 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 241 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 41 $0.00
1036F 0% 345 $0.00
3044F 0% 59 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 50 $0.00
1170F 0% 18 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 40 $0.00
99000 0% 17 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 30 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 615 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 725 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 200 $0.00
1160F 0% 30 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 91 $0.00
3288F 0% 30 $0.00
3077F 0% 42 $0.00
1158F 0% 18 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 34 $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.