Baltus, Michele

Baltus, Michele was paid $44K by Medicaid between Dec 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoBALTUS, MICHELE
HUNTINGTON STATION, NY 11746

33aNPI1700883899assigned 07/05/2005

33bProvider typeFamily Medicine Physician

28Total paid$44K

24GClaims1,023

24DCodes billed5

24AFirst – last monthDec 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#798 of 2,605

Median peer was paid$10K

This provider vs. median4.4×

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	13	$556.49
2019	33	$667.62
2020	114	$4K
2021	206	$9K
2022	266	$9K
2023	213	$9K
2024incomplete	178	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	50%	314	303	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	487	458	$22K
3074F		<1%	158	152	$2.50
3079F		0%	40	40	$0.00
3078F		0%	24	24	$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.