Michigan Lung and Critical Care Specialists, PC

Michigan Lung and Critical Care Specialists, PC was paid $82K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoMICHIGAN LUNG AND CRITICAL CARE SPECIALISTS, PC
GRAND BLANC, MI 48439

33aNPI1013948686assigned 07/05/2006

33bProvider typeSleep Disorder Diagnostic Clinic/Center

28Total paid$82K

24GClaims1,589

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Sleep Disorder Diagnostic Clinic/Center providers in Michigan

Rank by total paid#6 of 8

Median peer was paid$96K

This provider vs. median0.9×

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
2018	226	$10K
2019	222	$10K
2020	144	$7K
2021	292	$15K
2022	227	$13K
2023	303	$16K
2024incomplete	175	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	95%	1,451	1,419	$78K
94729		2.1%	63	63	$2K
94060		1.6%	63	63	$1K
99205	Prolong outpt/office vis	1.6%	12	12	$1K

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 officialRALSTON, DEBRA (PRACTICE MANAGER)