Physician Universe, PLLC
Physician Universe, PLLC was paid $275K by Medicaid between Jun 2020 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPHYSICIAN UNIVERSE, PLLC
BLOOMFIELD HILLS, MI 48302
BLOOMFIELD HILLS, MI 48302
33aNPI1023435856assigned 03/18/2014
33bProvider typeSpecialist
28Total paid$275K
24GClaims9,774
24DCodes billed17
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#66 of 181
Median peer was paid$94K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 403 | $9K | |
| 2021 | 1,274 | $36K | |
| 2022 | 728 | $38K | |
| 2023 | 1,396 | $46K | |
| 2024incomplete | 5,973 | $146K |
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% | 2,324 | 2,143 | $105K |
| 99402 | 24% | 3,087 | 3,079 | $65K | |
| 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 | 15% | 594 | 538 | $41K |
| 99496 | 7.5% | 146 | 146 | $21K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 6.3% | 1,928 | 1,928 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.7% | 512 | 511 | $10K |
| 99441 | 1.7% | 386 | 188 | $5K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 69 | 40 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 58 | 46 | $2K |
| 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% | 38 | 37 | $2K |
| 96161 | <1% | 21 | 21 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $1K |
5 more codes
| 96116 | <1% | 371 | $489.74 | |
| 99201 | <1% | 20 | $440.44 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 40 | $214.54 |
| 96127 | <1% | 15 | $30.98 | |
| 1111F | 0% | 153 | $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 officialMANDEL, SHLOMO (COO)