Dombrowski, Michael

Dombrowski, Michael was paid $20K by Medicaid between Sep 2019 and Apr 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

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
2019	271	$10K
2020	264	$10K

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	32%	123	121	$6K
59025	Fetal non-stress test	30%	193	91	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	28%	169	83	$5K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	6.5%	34	31	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	3.6%	16	16	$711.04

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.