Physician
Calma, Michelle
Calma, Michelle was paid $213K by Medicaid between Nov 2023 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCALMA, MICHELLE
ORLAND PARK, IL 60467
ORLAND PARK, IL 60467
33aNPI1982859757assigned 11/20/2008
33bProvider typePediatrics Physician
28Total paid$213K
24GClaims6,237
24DCodes billed29
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#532 of 1,805
Median peer was paid$55K
This provider vs. median3.9×
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
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 | |
|---|---|---|---|
| 2023 | 421 | $16K | |
| 2024incomplete | 5,816 | $197K |
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 | 41% | 1,702 | 1,451 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 388 | 287 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 332 | 275 | $21K |
| 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 | 7.3% | 202 | 179 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 228 | 198 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 633 | 580 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 359 | 318 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 213 | 204 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 96 | 81 | $5K |
| 90677 | 2.0% | 228 | 200 | $4K | |
| 90697 | 1.3% | 167 | 144 | $3K | |
| 90686 | 1.3% | 163 | 152 | $3K |
17 more codes
| 87428 | 1.2% | 40 | $3K | |
| 90680 | 1.1% | 136 | $2K | |
| 96127 | <1% | 130 | $2K | |
| 90633 | <1% | 97 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $2K |
| 90619 | <1% | 73 | $1K | |
| 85018 | <1% | 473 | $1K | |
| 90716 | <1% | 45 | $751.95 | |
| 90715 | <1% | 33 | $551.43 | |
| 90710 | <1% | 33 | $551.43 | |
| 90700 | <1% | 31 | $518.01 | |
| 90707 | <1% | 29 | $484.59 | |
| 90651 | <1% | 26 | $451.04 | |
| 90696 | <1% | 25 | $417.75 | |
| 81002 | <1% | 18 | $46.80 | |
| 90461 | 0% | 94 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 191 | $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.