Marcus, Michael

Marcus, Michael was paid $414K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoMARCUS, MICHAEL
BOSTON, MA 02116

33aNPI1669571253assigned 09/21/2006

33bProvider typeChild & Adolescent Psychiatry Physician

28Total paid$414K

24GClaims5,167

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Massachusetts

Rank by total paid#5 of 33

Median peer was paid$37K

This provider vs. median11×

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	678	$45K
2019	677	$50K
2020	1,014	$81K
2021	1,010	$87K
2022	1,022	$87K
2023	497	$42K
2024incomplete	269	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	74%	4,044	3,879	$304K
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	26%	1,123	1,074	$110K

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.