Cipolla, Michael

Cipolla, Michael was paid $6K by Medicaid between Apr 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoCIPOLLA, MICHAEL
ORCHARD PARK, NY 14127

33aNPI1841450137assigned 06/11/2008

33bProvider typeOtolaryngology Physician

28Total paid$6K

24GClaims460

24DCodes billed4

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#172 of 302

Median peer was paid$10K

This provider vs. median0.6×

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
2018	26	$338.95
2019	29	$127.68
2020	140	$2K
2021	14	$50.00
2022	50	$723.80
2023	111	$1K
2024incomplete	90	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	84%	378	373	$5K
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	12%	37	36	$747.97
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.0%	13	13	$187.74
69210		1.4%	32	32	$90.04

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.