Physician
Downriver Internists,p.C.
Downriver Internists,p.C. was paid $813K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoDOWNRIVER INTERNISTS,P.C.
TAYLOR, MI 48180
TAYLOR, MI 48180
33aNPI1043352784assigned 02/12/2007
33bProvider typeInternal Medicine Physician
28Total paid$813K
24GClaims29,224
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#141 of 816
Median peer was paid$70K
This provider vs. median12×
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 | 604 | $31K | |
| 2019 | 1,370 | $46K | |
| 2020 | 1,727 | $58K | |
| 2021 | 3,147 | $94K | |
| 2022 | 5,623 | $155K | |
| 2023 | 9,010 | $234K | |
| 2024incomplete | 7,743 | $194K |
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 | 49% | 6,173 | 5,688 | $402K |
| 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 | 26% | 2,397 | 2,310 | $214K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.3% | 1,169 | 520 | $76K |
| 99223 | Prolong inpt eval add15 m | 6.4% | 484 | 476 | $52K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.4% | 303 | 297 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 241 | 98 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 52 | 52 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 811 | 807 | $5K |
| 90756 | <1% | 149 | 147 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 409 | 402 | $3K |
| 99220 | <1% | 30 | 30 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 688 | 667 | $3K |
26 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $2K |
| 93000 | <1% | 252 | $2K | |
| 90673 | <1% | 40 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 169 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 132 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 94060 | <1% | 43 | $966.38 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $821.56 |
| 99406 | <1% | 137 | $507.37 | |
| 80305 | <1% | 50 | $490.21 | |
| 80061 | Lipid panel | <1% | 30 | $234.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $134.36 |
| 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) | <1% | 14 | $17.07 |
| 99072 | <1% | 37 | $11.25 | |
| 3074F | <1% | 3,753 | $2.21 | |
| 3079F | <1% | 2,645 | $1.55 | |
| 3078F | <1% | 2,626 | $1.50 | |
| 3080F | <1% | 836 | $1.42 | |
| 3077F | <1% | 992 | $1.28 | |
| 3075F | <1% | 1,219 | $0.99 | |
| G8432 | Depression screening not documented, reason not given | 0% | 2,232 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 717 | $0.00 |
| 3044F | 0% | 213 | $0.00 | |
| 3288F | 0% | 63 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 35 | $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 officialSMITH, BEVERLY (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| TLC Medical Supply, LLC | Manchester, KY | $2K |
| Falls Clinic, P.C. | Crystal Falls, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.