Physician
Falcione, Michael
Falcione, Michael was paid $12K by Medicaid between Mar 2022 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
33Billing provider infoFALCIONE, MICHAEL
HICKORY, PA 15340
HICKORY, PA 15340
33aNPI1861464414assigned 02/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$12K
24GClaims415
24DCodes billed3
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,599 of 2,756
Median peer was paid$19K
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 | |
|---|---|---|---|
| 2022 | 102 | $3K | |
| 2023 | 119 | $3K | |
| 2024incomplete | 194 | $6K |
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 | 83% | 277 | 257 | $10K |
| G0444 | Annual depression screening, 5 to 15 minutes | 11% | 112 | 106 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 26 | 24 | $726.80 |
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.