Physician
Hall, Michael
Hall, Michael was paid $242K by Medicaid between Nov 2020 and Jun 2024, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoHALL, MICHAEL
DU BOIS, PA 15801
DU BOIS, PA 15801
33aNPI1780688366assigned 06/10/2005
33bProvider typeFamily Medicine Physician
28Total paid$242K
24GClaims4,431
24DCodes billed4
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#301 of 2,756
Median peer was paid$19K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 140 | $3K | |
| 2021 | 1,163 | $54K | |
| 2022 | 1,488 | $89K | |
| 2023 | 1,123 | $77K | |
| 2024incomplete | 517 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 72% | 2,230 | 1,732 | $175K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,024 | 1,584 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 151 | 146 | $1K |
| 3074F | 0% | 26 | 26 | $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.