Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Clair, Michael

Clair, Michael was paid $10K by Medicaid between Jan 2021 and Dec 2021, across 8 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 25% of everything it billed.

33Billing provider infoCLAIR, MICHAEL
BRYN MAWR, PA 19010
33aNPI1811993520assigned 06/27/2005
28Total paid$10K
24GClaims210
24DCodes billed8
24AFirst – last monthJan 2021 – Dec 2021
Compared with peers

Next to other Diagnostic Radiology Physician providers in Pennsylvania

Rank by total paid#287 of 707
Median peer was paid$5K
This provider vs. median2.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2021210$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25% 37 37 $3K
76801 16% 23 22 $2K
76830 Ultrasound, transvaginal 15% 31 31 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15% 31 31 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12% 46 46 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9.6% 13 13 $948.26
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6.7% 13 13 $660.96
71045 Radiologic examination, chest; single view <1% 16 12 $82.56

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.