Physician
Grand Valley Medical Specialists PLC
Grand Valley Medical Specialists PLC was paid $456K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoGRAND VALLEY MEDICAL SPECIALISTS PLC
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1033226402assigned 08/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$456K
24GClaims15,304
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#225 of 826
Median peer was paid$98K
This provider vs. median4.7×
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 | 2,161 | $64K | |
| 2019 | 1,946 | $58K | |
| 2020 | 1,812 | $52K | |
| 2021 | 2,147 | $70K | |
| 2022 | 2,334 | $73K | |
| 2023 | 2,217 | $76K | |
| 2024incomplete | 2,687 | $62K |
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 | 59% | 4,353 | 4,054 | $271K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,610 | 2,477 | $132K |
| 80053 | Comprehensive metabolic panel | 2.2% | 1,371 | 1,351 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 89 | 88 | $7K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 2,490 | 2,331 | $7K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.4% | 588 | 580 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 1,244 | 1,218 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 61 | 61 | $5K |
| 80061 | Lipid panel | <1% | 442 | 440 | $4K |
| 90686 | <1% | 324 | 321 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 330 | 326 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 148 | 147 | $876.86 |
10 more codes
| 98966 | <1% | 27 | $208.30 | |
| 81001 | <1% | 13 | $29.86 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 178 | $0.00 |
| 3078F | 0% | 277 | $0.00 | |
| 3079F | 0% | 222 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 63 | $0.00 |
| 3074F | 0% | 425 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| 3075F | 0% | 25 | $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 officialREYNOLDS, JOANNE (CREDENTIALING SPECIALIST)