Zambie, Michael

Zambie, Michael was paid $668K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99205, Prolong outpt/office vis — 32% of everything it billed.

33Billing provider infoZAMBIE, MICHAEL
MONROE, LA 71201

33aNPI1699876714assigned 09/25/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$668K

24GClaims16,798

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Allergy & Immunology Physician providers in Louisiana

Rank by total paid#8 of 23

Median peer was paid$247K

This provider vs. median2.7×

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	2,862	$125K
2019	2,615	$111K
2020	1,971	$66K
2021	2,328	$94K
2022	2,303	$96K
2023	2,419	$102K
2024incomplete	2,300	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	32%	1,895	1,700	$214K
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	19%	2,211	1,893	$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	14%	2,252	1,936	$92K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	13%	407	378	$89K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	7.7%	279	242	$51K
95115		7.2%	7,463	2,947	$48K
94010		6.8%	2,125	1,883	$45K
94060		<1%	60	50	$2K
95024		<1%	70	62	$2K
94664		<1%	36	33	$231.27

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.