Southern Michigan Ent P C

Southern Michigan Ent P C was paid $32K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.

33Billing provider infoSOUTHERN MICHIGAN ENT P C
BATTLE CREEK, MI 49015

33aNPI1043428774assigned 05/18/2007

33bProvider typeOtolaryngology Physician

28Total paid$32K

24GClaims790

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Otolaryngology Physician providers in Michigan

Rank by total paid#21 of 31

Median peer was paid$294K

This provider vs. median0.1×

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	777	$31K
2019	13	$792.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	49%	262	257	$15K
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	32%	171	165	$10K
92557		10%	157	155	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.2%	42	38	$2K
92567		4.1%	158	157	$1K

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 officialBIZON, JOHN (PRESIDENT)