Tom, Michelle

Tom, Michelle was paid $15K by Medicaid between Jan 2018 and Jan 2023, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 64% of everything it billed.

33Billing provider infoTOM, MICHELLE
LAGUNA HILLS, CA 92653

33aNPI1750319539assigned 06/29/2006

33bProvider typeHospice and Palliative Medicine (Emergency Medicine) Physician

28Total paid$15K

24GClaims155

24DCodes billed2

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

Next to other Hospice and Palliative Medicine (Emergency Medicine) Physician providers in California

Rank by total paid#3 of 6

Median peer was paid$9K

This provider vs. median1.7×

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	56	$5K
2020	30	$3K
2021	42	$4K
2022	14	$1K
2023	13	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	64%	100	98	$10K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	36%	55	55	$5K

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.