Physician
Pediatric Consultants of Troy, P.C.
Pediatric Consultants of Troy, P.C. was paid $6.05M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPEDIATRIC CONSULTANTS OF TROY, P.C.
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
33aNPI1003821661assigned 07/30/2006
33bProvider typePediatrics Physician
28Total paid$6.05M
24GClaims180,815
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#12 of 349
Median peer was paid$321K
This provider vs. median19×
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 | 28,320 | $720K | |
| 2019 | 29,572 | $778K | |
| 2020 | 24,112 | $631K | |
| 2021 | 26,773 | $849K | |
| 2022 | 31,275 | $1.07M | |
| 2023 | 23,737 | $1.10M | |
| 2024incomplete | 17,026 | $907K |
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 | 38% | 36,139 | 30,757 | $2.27M |
| 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 | 16% | 10,332 | 6,635 | $944K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 8,801 | 8,787 | $723K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 7,931 | 7,419 | $565K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 6,150 | 6,145 | $513K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 2,590 | 2,586 | $230K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 7,575 | 7,517 | $115K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 12,387 | 12,216 | $106K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 1,295 | 1,293 | $103K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 15,003 | 14,899 | $98K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 7,813 | 7,799 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,341 | 1,255 | $49K |
49 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 427 | $46K |
| 83655 | <1% | 2,606 | $32K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,381 | $32K |
| 81002 | <1% | 10,954 | $30K | |
| 99051 | <1% | 3,323 | $25K | |
| 99383 | <1% | 155 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,066 | $12K |
| 99174 | <1% | 5,729 | $11K | |
| 90474 | <1% | 2,548 | $11K | |
| 96127 | <1% | 1,952 | $9K | |
| 99382 | <1% | 86 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 750 | $6K |
| 0071A | <1% | 98 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $4K |
| 0072A | <1% | 75 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 80061 | Lipid panel | <1% | 106 | $870.81 |
| 99441 | <1% | 98 | $773.77 | |
| 90651 | <1% | 599 | $722.43 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | $681.58 |
| 0081A | <1% | 15 | $578.35 | |
| 0083A | <1% | 14 | $542.05 | |
| 0002A | <1% | 14 | $531.79 | |
| 0001A | <1% | 13 | $493.94 | |
| 96161 | <1% | 196 | $247.91 | |
| 90686 | <1% | 3,698 | $110.21 | |
| 90715 | <1% | 244 | $38.28 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,540 | $1.91 |
| 98966 | <1% | 339 | $0.57 | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 194 | $0.43 |
| 98967 | <1% | 69 | $0.14 | |
| 90707 | 0% | 2,162 | $0.00 | |
| 90633 | 0% | 2,300 | $0.00 | |
| 90700 | 0% | 1,213 | $0.00 | |
| 99072 | 0% | 328 | $0.00 | |
| 90734 | 0% | 495 | $0.00 | |
| 90670 | 0% | 4,123 | $0.00 | |
| 91300 | 0% | 48 | $0.00 | |
| 91308 | 0% | 60 | $0.00 | |
| 90716 | 0% | 2,153 | $0.00 | |
| 90696 | 0% | 822 | $0.00 | |
| 90680 | 0% | 2,733 | $0.00 | |
| 90647 | 0% | 3,228 | $0.00 | |
| 90723 | 0% | 3,171 | $0.00 | |
| 91307 | 0% | 176 | $0.00 | |
| 3048F | 0% | 32 | $0.00 | |
| 90620 | 0% | 26 | $0.00 | |
| 90688 | 0% | 30 | $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.
From NPPES
Who's on the registration
Authorized officialDUBINA, ELIZABETH (MD)