Michail, James

Michail, James was paid $87K by Medicaid between Jan 2018 and Aug 2021, across 10 billing codes. Its largest line is 99497, — 35% of everything it billed.

33Billing provider infoMICHAIL, JAMES
GRANADA HILLS, CA 91344

33aNPI1760879217assigned 04/22/2015

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$87K

24GClaims3,772

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in California

Rank by total paid#21 of 80

Median peer was paid$8K

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	989	$11K
2019	1,350	$34K
2020	842	$23K
2021	591	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99497		35%	515	422	$30K
99308	Subsequent nursing facility care, per day, straightforward	21%	674	549	$18K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	1,562	492	$15K
99309	Subsequent nursing facility care, per day, low to moderate complexity	8.1%	286	256	$7K
99222	Initial hospital care, per day, moderate complexity	6.6%	88	86	$6K
99223	Prolong inpt eval add15 m	5.3%	271	254	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.1%	235	89	$4K
99306	Prolong nursin fac eval 15m	2.9%	45	44	$3K
99239	Hospital discharge day management, more than 30 minutes	<1%	83	82	$332.87
99238	Hospital discharge day management, 30 minutes or less	<1%	13	12	$124.60

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.