Michael Lynn Hall, DNPC APRN FNP PMHNP
Psychiatric/Mental Health · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 2
- 2 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location
Plans that list them
2 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Michael Lynn Hall’s office at (323) 205-7088 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
2 of 2 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$71,415
Medicare paid this office $71,415 for 268 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 174 | $25,315 | $51 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 60 | $18,809 | $72 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 102 | $16,467 | $96 |
| Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 54 | $5,598 | $102 |
Who their Medicare patients are
268 Original Medicare patients in 2024. Average age 78 · Under 65 10% · 85 and older 31% · Women 57% · Also on Medicaid 69% · Health risk score 1.99. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Depression 75% · Dementia 71% · Diabetes 42% · Heart failure 38% · COPD 36% · Chronic kidney disease 30% · Coronary heart disease 27% · Atrial fibrillation 26% · Stroke 16% · Cancer 11%.
The office billed $289,401, Medicare allowed $101,582 and paid $71,415; for 1,066 services of 15 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 268 | 1,066 | 78 | 1.99 | $289,401 | $71,415 |
| 2023 | 350 | 2,354 | 78 | 1.93 | $303,767 | $143,497 |
| 2022 | 411 | 3,287 | 79 | 1.89 | $306,574 | $154,254 |
| 2021 | 73 | 92 | 75 | 2.27 | $11,118 | $5,781 |
| 2019 | 59 | 100 | 63 | 1.23 | $4,332 | $871 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 10 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 286 | $89,488 | $62 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 117 | $15,301 | $91 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 147 | $11,407 | $42 |
| Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 76 | $9,377 | $116 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 30 | $6,851 | $75 |
| Telehealth originating site facility fee | 88 | $2,408 | $19 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 22 | $2,302 | $50 |
| Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 37 | $1,666 | $43 |
| Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 22 | $1,525 | $69 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 18 | $906 | $31 |
2022: 13 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 296 | $55,300 | $57 |
| Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes | 242 | $33,255 | $81 |
| Telehealth originating site facility fee | 189 | $24,181 | $22 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 123 | $14,072 | $84 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 197 | $8,755 | $31 |
| Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 31 | $3,889 | $125 |
| Psychiatric diagnostic evaluation with medical services | 41 | $3,229 | $79 |
| Initial nursing facility care with high level of medical decision making, per day 50 minutes or more | 28 | $2,837 | $101 |
| Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 29 | $2,488 | $86 |
| Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 96 | $2,252 | $17 |
| Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 37 | $1,919 | $46 |
| Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 12 | $848 | $65 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 13 | $692 | $53 |
2021: 3 services
| Psychiatric diagnostic evaluation with medical services | 23 | $2,687 | $117 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 31 | $1,511 | $46 |
| Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 20 | $511 | $26 |
2019: 2 services
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 33 | $288 | $8 |
| Urinalysis, manual test | 21 | $72 | $3 |
Medicaid work
$12,559 in 2024
Medicaid paid $12,559 for 638 billed services this clinician did in 2024, up to 66 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 504 | $11,727 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 134 | $832 |
| 2024 | 638 | 2 | 66 | $12,559 |
| 2023 | 1,579 | 4 | 83 | $19,262 |
| 2022 | 2,587 | 8 | 96 | $26,082 |
| 2021 | 150 | 5 | 40 | $2,629 |
| 2020 | 41 | 2 | 13 | $1,116 |
| 2019 | 3,331 | 22 | 93 | $58,441 |
See the largest Medicaid services in earlier years
2023
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 1,200 | $13,956 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 72 | $2,000 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 181 | $1,933 |
| Telehealth originating site facility fee | 126 | $1,374 |
2022
| Telehealth originating site facility fee | 1,069 | $6,975 |
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 776 | $5,413 |
| INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES | 352 | $4,432 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 213 | $4,252 |
| Return visit (30+ min) | 24 | $2,335 |
| Psychiatric diagnostic evaluation with medical services | 13 | $1,108 |
| Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 109 | $943 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 31 | $623 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 24 | $889 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 24 | $675 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 29 | $445 |
| Psychiatric diagnostic evaluation with medical services | 14 | $350 |
| Telehealth originating site facility fee | 59 | $270 |
2020
| Return visit (30+ min) | 19 | $610 |
| Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 22 | $507 |
2019
| Return visit (30+ min) | 430 | $24,013 |
| Short return visit (20+ min) | 558 | $21,698 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 337 | $5,777 |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | 178 | $1,507 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 248 | $1,373 |
| Injection, methylprednisolone acetate, 40 mg | 176 | $874 |
| Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered | 31 | $614 |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | 58 | $530 |
| Short return visit | 17 | $436 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 241 | $340 |
| Pure tone audiometry (threshold); air only | 21 | $294 |
| Injection, ceftriaxone sodium, per 250 mg | 134 | $246 |
Drugs they prescribed that Part D paid
$73,961
Pharmacies billed $73,961 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 13% of their Part D prescriptions (72 of 537) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.
511 generic and 26 brand-name prescriptions · $73,961 in drug cost · 38 antipsychotic prescriptions to people over 65.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Divalproex | 59 | $1,931 | $33 |
| Aripiprazole | 14 | $373 | $27 |
| Gabapentin | 64 | $296 | $5 |
| Risperidone | 21 | $199 | $9 |
| Hydrocodone-Acetaminophen | 30 | $175 | $6 |
See all 14 drugs
| Divalproex | 59 | $1,931 | $33 |
| Aripiprazole | 14 | $373 | $27 |
| Gabapentin | 64 | $296 | $5 |
| Risperidone | 21 | $199 | $9 |
| Hydrocodone-Acetaminophen | 30 | $175 | $6 |
| Lorazepam | 17 | $158 | $9 |
| Hydroxyzine Pamoate | 39 | $134 | $3 |
| Tramadol | 16 | $122 | $8 |
| Sertraline | 21 | $117 | $6 |
| Oxycodone | 11 | $109 | $10 |
| Lamotrigine | 14 | $105 | $8 |
| Trazodone | 13 | $91 | $7 |
| Mirtazapine | 20 | $71 | $4 |
| Citalopram Hbr | 27 | $9 | $0 |
Year by year
| 2024 | 537 | 156 | 13% (72) | 5% | $73,961 |
| 2023 | 355 | 27 | 0% (0) | None | $8,310 |
| 2022 | 69 | 14 | 0% (0) | None | $2,245 |
| 2021 | 38 | None | 0% (0) | None | $1,715 |
| 2020 | 312 | 39 | None | None | $30,491 |
| 2019 | 760 | 179 | 3% (23) | None | $49,534 |
| 2018 | 239 | 88 | None | 13% | $9,655 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 7 drugs
| Divalproex | 77 | $2,138 | $28 |
| Gabapentin | 48 | $750 | $16 |
| Risperidone | 63 | $495 | $8 |
| Citalopram Hbr | 35 | $223 | $6 |
| Sertraline | 34 | $219 | $6 |
| Escitalopram | 15 | $211 | $14 |
| Mirtazapine | 17 | $56 | $3 |
2022: 1 drug
| Risperidone | 11 | $94 | $9 |
2020: 3 drugs
| Clonazepam | 20 | $246 | $12 |
| Lamotrigine | 22 | $148 | $7 |
| Sertraline | 28 | $148 | $5 |
2019: 22 drugs
| Duloxetine | 28 | $1,049 | $37 |
| Gabapentin | 26 | $405 | $16 |
| Fluticasone Propionate | 32 | $359 | $11 |
| Omeprazole | 11 | $223 | $20 |
| Levothyroxine | 15 | $199 | $13 |
| Alprazolam | 28 | $184 | $7 |
| Diclofenac | 11 | $172 | $16 |
| Risperidone | 12 | $154 | $13 |
| Atorvastatin | 14 | $151 | $11 |
| Amoxicillin-Clavulanate Potass | 13 | $140 | $11 |
| Ciprofloxacin | 16 | $135 | $8 |
| Quetiapine | 13 | $128 | $10 |
| Ibuprofen | 13 | $127 | $10 |
| Lisinopril | 11 | $101 | $9 |
| Clonazepam | 16 | $99 | $6 |
| Amlodipine Besylate | 15 | $93 | $6 |
| Metformin | 11 | $87 | $8 |
| Mupirocin | 11 | $86 | $8 |
| Hydrocodone-Acetaminophen | 12 | $68 | $6 |
| Tramadol | 11 | $67 | $6 |
| Prednisone | 15 | $47 | $3 |
| Citalopram Hbr | 11 | $40 | $4 |
2018: 3 drugs
| Fluticasone Propionate | 21 | $187 | $9 |
| Amoxicillin-Clavulanate Potass | 12 | $160 | $13 |
| Alprazolam | 14 | $83 | $6 |
Money from drug and device companies
$68 in 2023
A payment is not proof that care is biased.
| Abbvie | Vraylar | $44 | 2 payments
|
| Novo Nordisk | Wegovy | $25 | 1 payment
|
See all 3 published payments
| Novo Nordisk | Meals · 2023-05-03 | Wegovy | $25 |
| Abbvie | Meals · 2023-04-03 | Vraylar | $18 |
| Abbvie | Meals · 2023-03-27 | Vraylar | $26 |
Professional record
- NPI
- 1609383082
- Licence
- KY 3015473, TN APN0000023860
More record details
- Sole proprietor
- No
- Medicaid ID
- KY 7100706230, TN Q044081
- Taxonomy
- Federal specialty code 363LP0808X (363LP0808X); Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 728 N Sampson Ave, Dyersburg, TN, 38024
- NPI first listed
- 2018-01-06
- NPI last updated
- 2025-11-05
- NPI record certified
- 2025-11-05
This is when the NPI record was last certified, not a medical board exam.