NP / PA
Michalek, Rachel
Michalek, Rachel was paid $16K by Medicaid between Apr 2021 and Feb 2022, across 14 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 44% of everything it billed.
33Billing provider infoMICHALEK, RACHEL
PAOLI, PA 19301
PAOLI, PA 19301
33aNPI1780240887assigned 05/14/2019
33bProvider typeNurse Practitioner
28Total paid$16K
24GClaims379
24DCodes billed14
24AFirst – last monthApr 2021 – Feb 2022
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#131 of 372
Median peer was paid$7K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2021 | 301 | $14K | |
| 2022 | 78 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 44% | 78 | 75 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 32 | 27 | $3K |
| 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 | 13% | 24 | 12 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 13 | 13 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 15 | 12 | $784.70 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.9% | 30 | 30 | $780.00 |
| 99173 | 1.2% | 51 | 39 | $183.25 | |
| 90723 | <1% | 13 | 13 | $130.00 | |
| 90670 | <1% | 13 | 13 | $130.00 | |
| 90648 | <1% | 13 | 13 | $130.00 | |
| 90680 | <1% | 12 | 12 | $120.00 | |
| 90686 | 0% | 25 | 25 | $0.00 |
2 more codes
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.