Dirusso, Michael

Dirusso, Michael was paid $26K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 65% of everything it billed.

33Billing provider infoDIRUSSO, MICHAEL
SCHENECTADY, NY 12308

33aNPI1700023868assigned 01/12/2009

33bProvider typeNephrology Physician

28Total paid$26K

24GClaims683

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in New York

Rank by total paid#238 of 559

Median peer was paid$18K

This provider vs. median1.5×

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	12	$0.00
2019	55	$210.58
2020	13	$1K
2021	15	$145.02
2022	118	$2K
2023	154	$5K
2024incomplete	316	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	65%	381	381	$17K
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	25%	184	184	$6K
90961		8.4%	49	49	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	57	25	$235.29
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$141.40

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.