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

Thomas, Michael

Thomas, Michael was paid $63K by Medicaid between Jan 2018 and Feb 2019, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.

33Billing provider infoTHOMAS, MICHAEL
WOODBURY, TN 37190
33aNPI1922278126assigned 03/04/2008
28Total paid$63K
24GClaims1,416
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#299 of 754
Median peer was paid$34K
This provider vs. median1.9×

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$5.0K$10K2018201920202021202220232024
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
20181,285$58K
2019131$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 44% 538 460 $28K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 41% 556 462 $26K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 322 284 $9K

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.