Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 287 | 368 | $101,224 | $27,921 |
| 2022 | 7 | 180 | 367 | $101,769 | $26,716 |
| 2021 | 6 | 281 | 556 | $156,287 | $41,938 |
| 2020 | 8 | 255 | 550 | $142,508 | $37,537 |
All Medicare Procedures & Services
28 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 81 | 81 | $44,550 | $10,466 | 23.5% |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Facility | 2023 | 63 | 125 | $13,375 | $4,739 | 35.4% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 33 | 51 | $10,047 | $3,077 | 30.6% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 51 | 52 | $10,296 | $3,008 | 29.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Facility | 2023 | 23 | 23 | $10,557 | $2,945 | 27.9% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 21 | 21 | $7,854 | $2,123 | 27.0% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2023 | 15 | 15 | $4,545 | $1,563 | 34.4% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 39 | 149 | $44,980 | $11,733 | 26.1% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 26 | 27 | $15,203 | $4,096 | 26.9% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 25 | 61 | $12,719 | $3,360 | 26.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 21 | 21 | $10,668 | $2,493 | 23.4% |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | Facility | 2022 | 26 | 65 | $6,955 | $1,916 | 27.6% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2022 | 32 | 32 | $6,588 | $1,757 | 26.7% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 11 | 12 | $4,656 | $1,360 | 29.2% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 88 | 314 | $66,810 | $17,640 | 26.4% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 58 | 107 | $32,678 | $8,663 | 26.5% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 39 | 39 | $22,652 | $6,121 | 27.0% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 34 | 34 | $16,932 | $4,179 | 24.7% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 24 | 24 | $9,139 | $3,192 | 34.9% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 38 | 38 | $8,076 | $2,143 | 26.5% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 95 | 365 | $78,475 | $20,993 | 26.8% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 43 | 68 | $20,956 | $5,611 | 26.8% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 28 | 28 | $16,431 | $4,518 | 27.5% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2020 | 35 | 35 | $7,548 | $2,052 | 27.2% |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | Office | 2020 | 21 | 21 | $7,266 | $1,493 | 20.5% |
About Dr. Michael Forbes, MD
Dr. Michael Forbes, MD is a Neurology healthcare provider based in Chapel Hill, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/04/2012. The National Provider Identifier (NPI) number assigned to this provider is 1942561279.
As a Medicare-enrolled provider, Forbes has provided services to 1,003 Medicare beneficiaries, totaling 1,841 services with total Medicare billing of $134,111. Data is available for 4 years (2020–2023), covering 28 distinct procedure/service records.
Practice Information
- Specialty Neurology
- Location Chapel Hill, NC
- Active Since 06/04/2012
- Last Updated 10/08/2019
- Taxonomy Code 2084N0400X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1942561279
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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