Spellacy, Michael

Spellacy, Michael was paid $59K by Medicaid between Nov 2020 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSPELLACY, MICHAEL
FAIRVIEW, PA 16415

33aNPI1952300725assigned 07/14/2005

33bProvider typeFamily Medicine Physician

28Total paid$59K

24GClaims1,343

24DCodes billed6

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#852 of 2,756

Median peer was paid$19K

This provider vs. median3.1×

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
2020	32	$2K
2021	197	$9K
2022	476	$18K
2023	396	$18K
2024incomplete	242	$12K

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	60%	612	593	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	620	596	$23K
92551		<1%	43	43	$184.82
83655		<1%	12	12	$132.00
99173		<1%	43	43	$97.51
3078F		0%	13	12	$0.00

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.