Physician
Schifano, Michael
Schifano, Michael was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 23% of everything it billed.
33Billing provider infoSCHIFANO, MICHAEL
MARION, IL 62959
MARION, IL 62959
33aNPI1679507818assigned 07/11/2006
33bProvider typeObstetrics Physician
28Total paid$1.54M
24GClaims24,380
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics Physician providers in Illinois
Rank by total paid#3 of 26
Median peer was paid$55K
This provider vs. median28×
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 | 8,647 | $599K | |
| 2019 | 5,530 | $322K | |
| 2020 | 133 | $6K | |
| 2021 | 550 | $26K | |
| 2022 | 6,127 | $370K | |
| 2023 | 2,808 | $172K | |
| 2024incomplete | 585 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 23% | 386 | 365 | $348K |
| 0502F | 13% | 4,786 | 3,494 | $201K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 8.1% | 2,045 | 1,687 | $124K |
| 76830 | Ultrasound, transvaginal | 8.1% | 2,203 | 1,817 | $124K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.9% | 2,214 | 1,812 | $121K |
| 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 | 5.1% | 1,062 | 903 | $79K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.1% | 1,448 | 1,200 | $78K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.5% | 1,339 | 979 | $69K |
| 59514 | 4.5% | 257 | 166 | $69K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,589 | 1,389 | $68K |
| 76801 | 3.7% | 1,014 | 862 | $57K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 413 | 381 | $34K |
25 more codes
| 76818 | 1.5% | 476 | $23K | |
| 0500F | 1.4% | 535 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 344 | $14K |
| 59025 | Fetal non-stress test | <1% | 617 | $12K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 251 | $11K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 248 | $11K |
| 0503F | <1% | 197 | $9K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 202 | $8K |
| 87481 | <1% | 124 | $7K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 239 | $7K |
| 87511 | <1% | 119 | $5K | |
| 76857 | <1% | 97 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 164 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 520 | $5K |
| 99234 | <1% | 56 | $4K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 52 | $3K |
| 81025 | <1% | 921 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 81 | $2K |
| 76820 | <1% | 66 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| 87210 | <1% | 224 | $932.54 | |
| 99459 | <1% | 36 | $511.70 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $465.32 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $391.68 |
| 81002 | <1% | 13 | $26.00 |
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.