Physician
Dicaprio, Michael
Dicaprio, Michael was paid $30K by Medicaid between Mar 2021 and Jul 2024, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 80% of everything it billed.
33Billing provider infoDICAPRIO, MICHAEL
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1821161894assigned 11/16/2006
33bProvider typeEmergency Medicine Physician
28Total paid$30K
24GClaims410
24DCodes billed2
24AFirst – last monthMar 2021 – Jul 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#522 of 1,211
Median peer was paid$19K
This provider vs. median1.5×
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 | 104 | $6K | |
| 2022 | 96 | $5K | |
| 2023 | 167 | $14K | |
| 2024incomplete | 43 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 80% | 303 | 300 | $24K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 107 | 105 | $6K |
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.