Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Arcadia › NPI 1699716100
Physician

Michael S. Agron, M.D., INC.

Michael S. Agron, M.D., INC. was paid $3.42M by Medicaid between Jan 2018 and Mar 2023, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoMICHAEL S. AGRON, M.D., INC.
ARCADIA, CA 91007
33aNPI1699716100assigned 06/08/2006
28Total paid$3.42M
24GClaims75,992
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#139 of 988
Median peer was paid$32K
This provider vs. median108×

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$25K$50K$75K2018201920202021202220232024
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
201815,478$569K
201918,693$792K
202011,858$555K
202112,739$641K
202213,707$679K
20233,517$183K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 50% 25,620 25,102 $1.70M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 20,944 20,722 $909K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 18,674 18,438 $567K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5.6% 1,992 1,940 $190K
93042 1.6% 7,708 7,571 $54K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 13 13 $211.38
G9744 Patient not eligible due to active diagnosis of hypertension 0% 890 835 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 92 88 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 0% 59 57 $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.

From NPPES

Who's on the registration

Authorized officialAGRON, MICHAEL (OWNER)
Same official

Other billing entities under AGRON, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.