Physician
Bloom Pediatrics PC
Bloom Pediatrics PC was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBLOOM PEDIATRICS PC
BIRMINGHAM, MI 48009
BIRMINGHAM, MI 48009
33aNPI1043364680assigned 01/22/2007
33bProvider typePediatrics Physician
28Total paid$2.78M
24GClaims109,790
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#49 of 349
Median peer was paid$321K
This provider vs. median8.6×
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 | 15,163 | $267K | |
| 2019 | 13,588 | $249K | |
| 2020 | 10,055 | $224K | |
| 2021 | 13,580 | $360K | |
| 2022 | 16,890 | $484K | |
| 2023 | 18,983 | $557K | |
| 2024incomplete | 21,531 | $636K |
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 | 31% | 14,644 | 12,036 | $859K |
| 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 | 16% | 5,444 | 4,990 | $457K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,001 | 3,978 | $308K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 3,204 | 3,139 | $220K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,623 | 2,593 | $201K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 9,094 | 8,748 | $191K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,321 | 1,314 | $113K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 1,441 | 1,390 | $56K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 723 | 703 | $35K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 3,245 | 3,215 | $34K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 1,953 | 1,862 | $33K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,459 | 4,302 | $25K |
88 more codes
| 99381 | <1% | 205 | $19K | |
| 90677 | <1% | 512 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,483 | $15K |
| 87634 | <1% | 450 | $15K | |
| 90837 | Psychotherapy session, about an hour | <1% | 167 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,134 | $14K |
| 90480 | <1% | 299 | $12K | |
| 99188 | <1% | 1,721 | $12K | |
| 99051 | <1% | 3,862 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 724 | $11K |
| 0001A | <1% | 235 | $8K | |
| 0002A | <1% | 218 | $8K | |
| 83655 | <1% | 809 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 204 | $7K |
| 96127 | <1% | 2,345 | $7K | |
| 0072A | <1% | 171 | $6K | |
| 87081 | <1% | 1,190 | $5K | |
| 99177 | <1% | 2,490 | $5K | |
| 91320 | <1% | 76 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109 | $4K |
| 0071A | <1% | 107 | $4K | |
| 90686 | <1% | 2,432 | $4K | |
| 99000 | <1% | 972 | $4K | |
| 36416 | <1% | 4,178 | $3K | |
| 96161 | <1% | 1,880 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $3K |
| 99383 | <1% | 26 | $3K | |
| 92551 | <1% | 300 | $2K | |
| 0054A | <1% | 50 | $2K | |
| 0081A | <1% | 46 | $2K | |
| 99382 | <1% | 15 | $1K | |
| 92558 | <1% | 1,149 | $1K | |
| 81003 | <1% | 734 | $1K | |
| 0124A | <1% | 33 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 96380 | <1% | 64 | $1K | |
| 96160 | <1% | 570 | $972.92 | |
| 0074A | <1% | 27 | $918.16 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $915.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 202 | $911.55 |
| 90656 | <1% | 352 | $876.88 | |
| 0082A | <1% | 14 | $538.94 | |
| 0154A | <1% | 16 | $536.24 | |
| 87807 | <1% | 75 | $513.76 | |
| 80061 | Lipid panel | <1% | 78 | $419.63 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 46 | $268.13 |
| 90473 | <1% | 141 | $228.00 | |
| 92015 | Determination of refractive state | <1% | 17 | $144.72 |
| 92588 | <1% | 14 | $134.09 | |
| 94760 | <1% | 2,710 | $108.68 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 46 | $28.13 |
| 90685 | <1% | 198 | $21.81 | |
| 99072 | <1% | 704 | $11.00 | |
| 90744 | <1% | 1,203 | $5.96 | |
| 99173 | <1% | 1,840 | $4.00 | |
| 90716 | <1% | 330 | $0.01 | |
| 90680 | 0% | 1,447 | $0.00 | |
| 90698 | 0% | 1,698 | $0.00 | |
| 90651 | 0% | 326 | $0.00 | |
| 3351F | 0% | 269 | $0.00 | |
| 2000F | 0% | 1,227 | $0.00 | |
| 90619 | 0% | 200 | $0.00 | |
| 99429 | 0% | 150 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 203 | $0.00 |
| 90696 | 0% | 102 | $0.00 | |
| 91315 | 0% | 14 | $0.00 | |
| 91318 | 0% | 17 | $0.00 | |
| 91319 | 0% | 32 | $0.00 | |
| 91307 | 0% | 316 | $0.00 | |
| 91305 | 0% | 44 | $0.00 | |
| 90381 | 0% | 27 | $0.00 | |
| 90707 | 0% | 388 | $0.00 | |
| 90633 | 0% | 1,211 | $0.00 | |
| 90461 | 0% | 4,201 | $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% | 1,119 | $0.00 |
| 90700 | 0% | 158 | $0.00 | |
| 90670 | 0% | 1,751 | $0.00 | |
| 90715 | 0% | 31 | $0.00 | |
| 91300 | 0% | 427 | $0.00 | |
| 1159F | 0% | 2,698 | $0.00 | |
| 90648 | 0% | 71 | $0.00 | |
| 91308 | 0% | 119 | $0.00 | |
| 90734 | 0% | 83 | $0.00 | |
| 90710 | 0% | 146 | $0.00 | |
| 90380 | 0% | 15 | $0.00 | |
| 90621 | 0% | 30 | $0.00 | |
| 91312 | 0% | 33 | $0.00 | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | 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 officialSCHAFER, KATHERINE (OWNER)