Physician
Cereal City Pediatrics
Cereal City Pediatrics was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCEREAL CITY PEDIATRICS
BATTLE CREEK, MI 49015
BATTLE CREEK, MI 49015
33aNPI1033155692assigned 06/21/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims31,244
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#113 of 349
Median peer was paid$321K
This provider vs. median3.4×
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 | 657 | $26K | |
| 2019 | 801 | $30K | |
| 2020 | 648 | $18K | |
| 2021 | 823 | $26K | |
| 2022 | 1,087 | $37K | |
| 2023 | 10,958 | $399K | |
| 2024incomplete | 16,270 | $553K |
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 | 39% | 7,615 | 6,709 | $425K |
| 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 | 11% | 1,428 | 1,360 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 1,371 | 1,356 | $99K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 1,151 | 1,149 | $93K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 2,715 | 2,541 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 833 | 833 | $69K |
| 87428 | 4.7% | 1,259 | 1,220 | $51K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 543 | 540 | $50K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 397 | 274 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,409 | 1,364 | $16K |
| 99381 | 1.3% | 164 | 164 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 668 | 639 | $8K |
50 more codes
| 96127 | <1% | 1,073 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 320 | $4K |
| 83655 | <1% | 398 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 458 | $3K |
| 99177 | <1% | 890 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 77 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 17 | $925.18 |
| 96380 | <1% | 43 | $900.37 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $779.82 |
| 99000 | <1% | 139 | $594.86 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 105 | $574.72 |
| 96161 | <1% | 344 | $572.67 | |
| 90651 | <1% | 125 | $494.95 | |
| 81002 | <1% | 181 | $471.12 | |
| 90480 | <1% | 14 | $405.88 | |
| 0154A | <1% | 12 | $359.82 | |
| 99051 | <1% | 245 | $356.90 | |
| 90677 | <1% | 560 | $339.06 | |
| 90619 | <1% | 139 | $166.23 | |
| 90656 | <1% | 272 | $155.58 | |
| 90621 | <1% | 49 | $140.86 | |
| 98966 | <1% | 25 | $114.36 | |
| 90686 | <1% | 566 | $109.17 | |
| 81003 | <1% | 59 | $102.52 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $88.70 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 87 | $0.55 |
| 3074F | <1% | 779 | $0.30 | |
| 3078F | <1% | 750 | $0.29 | |
| G9920 | Screening performed and negative | <1% | 775 | $0.13 |
| 90697 | 0% | 610 | $0.00 | |
| 36416 | 0% | 128 | $0.00 | |
| 90680 | 0% | 584 | $0.00 | |
| 90698 | 0% | 73 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 13 | $0.00 |
| 90381 | 0% | 44 | $0.00 | |
| 91318 | 0% | 13 | $0.00 | |
| 90696 | 0% | 42 | $0.00 | |
| 90716 | 0% | 45 | $0.00 | |
| 90670 | 0% | 253 | $0.00 | |
| 90633 | 0% | 365 | $0.00 | |
| 99173 | 0% | 30 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 90461 | 0% | 437 | $0.00 | |
| 90380 | 0% | 15 | $0.00 | |
| 90715 | 0% | 37 | $0.00 | |
| 99072 | 0% | 123 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 112 | $0.00 |
| 90707 | 0% | 58 | $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 officialTHOMAS, DIANE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Merced Womens Center for Advanced Pelvic Surgery | Merced, CA | $313K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.