Poshkus, Michael

Poshkus, Michael was paid $216K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is T1016, Case management, each 15 minutes — 44% of everything it billed.

33Billing provider infoPOSHKUS, MICHAEL
WEST WARWICK, RI 02893

33aNPI1952341075assigned 06/07/2006

33bProvider typeInfectious Disease Physician

28Total paid$216K

24GClaims6,063

24DCodes billed16

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in Rhode Island

Rank by total paid#3 of 14

Median peer was paid$13K

This provider vs. median17×

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	452	$20K
2019	429	$17K
2020	402	$15K
2021	2,105	$64K
2022	529	$19K
2023	1,326	$44K
2024incomplete	820	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	44%	2,870	1,206	$96K
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%	1,560	1,390	$70K
0012A		7.6%	395	382	$16K
0011A		4.1%	426	412	$9K
0064A		2.8%	153	146	$6K
0002A		2.0%	124	124	$4K
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	1.7%	53	49	$4K
0001A		1.6%	105	105	$3K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	1.5%	18	12	$3K
0004A		<1%	38	38	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	89	78	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	60	59	$848.75

4 more codes

0072A	<1%	14	$582.82
80305	<1%	18	$173.64
90686	<1%	34	$16.50
91301	<1%	106	$1.52

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.