Physician
Cummins, Michelle
Cummins, Michelle was paid $40K by Medicaid between Jan 2021 and Sep 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoCUMMINS, MICHELLE
PORT LAVACA, TX 77979
PORT LAVACA, TX 77979
33aNPI1811972185assigned 12/09/2005
33bProvider typeOtolaryngology Physician
28Total paid$40K
24GClaims881
24DCodes billed4
24AFirst – last monthJan 2021 – Sep 2024
Compared with peers
Next to other Otolaryngology Physician providers in Texas
Rank by total paid#41 of 68
Median peer was paid$55K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 201 | $9K | |
| 2022 | 398 | $18K | |
| 2023 | 187 | $9K | |
| 2024incomplete | 95 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 678 | 556 | $30K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 74 | 64 | $7K |
| 92588 | 4.1% | 65 | 62 | $2K | |
| 92570 | 4.1% | 64 | 62 | $2K |
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.