Theodoulou, Michael
Theodoulou, Michael was paid $102K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 57% of everything it billed.
33Billing provider infoTHEODOULOU, MICHAEL
SOMERVILLE, MA 02143
SOMERVILLE, MA 02143
33aNPI1760430755assigned 05/04/2006
33bProvider typePodiatrist
28Total paid$102K
24GClaims2,090
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in Massachusetts
Rank by total paid#19 of 118
Median peer was paid$16K
This provider vs. median6.4×
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 | 308 | $15K | |
| 2019 | 303 | $15K | |
| 2020 | 157 | $8K | |
| 2021 | 260 | $11K | |
| 2022 | 311 | $15K | |
| 2023 | 411 | $20K | |
| 2024incomplete | 340 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 57% | 980 | 980 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 1,037 | 985 | $40K |
| 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 | 2.8% | 54 | 51 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | 17 | $485.26 |
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.