Griffen, Michael

Griffen, Michael was paid $496K by Medicaid between Jan 2019 and Jul 2020, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoGRIFFEN, MICHAEL
SPRING HILL, FL 34606

33aNPI1740387844assigned 09/20/2006

33bProvider typePediatrics Physician

28Total paid$496K

24GClaims19,915

24DCodes billed35

24AFirst – last monthJan 2019 – Jul 2020

Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#383 of 971

Median peer was paid$238K

This provider vs. median2.1×

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
2019	13,358	$358K
2020	6,557	$138K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	5,759	4,710	$187K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	1,127	1,031	$86K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	649	571	$50K
90460	Immunization administration through 18 years of age via any route, first or only component	7.9%	1,962	1,826	$39K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.6%	487	475	$38K
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	4.9%	506	470	$24K
92587		3.6%	1,192	1,152	$18K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.6%	770	665	$13K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	152	149	$11K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	801	777	$8K
99051		1.5%	1,048	984	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	65	65	$5K

23 more codes

99383		<1%	29	$2K
90716		<1%	363	$2K
90707		<1%	450	$1K
83655		<1%	96	$807.50
85018		<1%	470	$733.86
90670		<1%	576	$540.15
90633		<1%	472	$480.45
90696		<1%	64	$296.10
90461		<1%	298	$252.00
90686		<1%	336	$215.64
87807		<1%	25	$190.00
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	26	$168.48
90700		<1%	180	$129.00
81003		<1%	30	$58.58
90648		<1%	422	$20.52
90734		0%	29	$0.00
99174		0%	588	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	160	$0.00
90723		0%	327	$0.00
36416		0%	114	$0.00
96127		0%	68	$0.00
90680		0%	245	$0.00
90651		0%	29	$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.