Karmo Pediatric Center
Karmo Pediatric Center was paid $1.76M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoKARMO PEDIATRIC CENTER
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
33aNPI1013046655assigned 03/02/2007
33bProvider typeSpecialist
28Total paid$1.76M
24GClaims47,915
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#21 of 181
Median peer was paid$94K
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 | 8,288 | $289K | |
| 2019 | 7,761 | $258K | |
| 2020 | 5,164 | $139K | |
| 2021 | 6,477 | $222K | |
| 2022 | 7,981 | $288K | |
| 2023 | 7,758 | $315K | |
| 2024incomplete | 4,486 | $247K |
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 | 35% | 9,716 | 8,807 | $612K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 3,680 | 3,641 | $271K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 3,520 | 3,488 | $262K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,030 | 2,692 | $211K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.5% | 2,061 | 2,043 | $167K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 6,042 | 5,988 | $121K |
| 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 | 4.3% | 833 | 814 | $76K |
| 99460 | <1% | 268 | 268 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 238 | 238 | $10K |
| 99462 | <1% | 136 | 113 | $3K | |
| 97802 | <1% | 4,835 | 4,820 | $3K | |
| 90677 | <1% | 92 | 92 | $3K |
27 more codes
| 99381 | <1% | 28 | $2K | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 2,959 | $500.00 |
| 0071A | <1% | 15 | $499.63 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 2,761 | $415.00 |
| 86580 | <1% | 61 | $283.08 | |
| 90651 | <1% | 334 | $189.29 | |
| 90688 | <1% | 872 | $138.07 | |
| 90686 | <1% | 483 | $96.80 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 99 | $5.00 |
| 90461 | 0% | 2,316 | $0.00 | |
| 90670 | 0% | 850 | $0.00 | |
| 90700 | 0% | 428 | $0.00 | |
| 90707 | 0% | 298 | $0.00 | |
| 90713 | 0% | 253 | $0.00 | |
| 90633 | 0% | 234 | $0.00 | |
| 90734 | 0% | 155 | $0.00 | |
| 90687 | 0% | 34 | $0.00 | |
| 90649 | 0% | 17 | $0.00 | |
| 90715 | 0% | 40 | $0.00 | |
| 90658 | 0% | 19 | $0.00 | |
| 91300 | 0% | 19 | $0.00 | |
| 90716 | 0% | 337 | $0.00 | |
| 90744 | 0% | 319 | $0.00 | |
| 90698 | 0% | 301 | $0.00 | |
| 90680 | 0% | 176 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90647 | 0% | 42 | $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 officialBALL, TERESA (CPC)
Parent organizationVERNOR PEDIATRIC PC