Whitner, Michael

Whitner, Michael was paid $262K by Medicaid between Mar 2018 and Mar 2023, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoWHITNER, MICHAEL
SOMERVILLE, MA 02144

33aNPI1730159971assigned 01/23/2006

33bProvider typePediatrics Physician

28Total paid$262K

24GClaims2,793

24DCodes billed18

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#243 of 1,273

Median peer was paid$24K

This provider vs. median11×

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	2,637	$248K
2021	12	$929.88
2022	107	$9K
2023	37	$3K

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	30%	377	364	$78K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	552	522	$71K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	145	145	$30K
90460	Immunization administration through 18 years of age via any route, first or only component	9.6%	514	319	$25K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.4%	97	97	$22K
96127		2.3%	262	262	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.3%	209	207	$6K
90461		2.0%	211	76	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	91	91	$4K
87081		1.2%	180	178	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.0%	13	13	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.0%	13	13	$3K

6 more codes

87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	26	$2K
94010		<1%	24	$973.20
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	40	$957.12
99188		<1%	12	$811.20
99051		<1%	13	$390.00
92551		<1%	14	$319.76

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.