Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Associates of Rochester Hills, PC

Pediatric Associates of Rochester Hills, PC was paid $145K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES OF ROCHESTER HILLS, PC
ROCHESTER HILLS, MI 48307
33aNPI1043561061assigned 10/01/2012
33bProvider typeSpecialist
28Total paid$145K
24GClaims3,204
24DCodes billed9
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Specialist providers in Michigan

Rank by total paid#80 of 181
Median peer was paid$94K
This provider vs. median1.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018883$34K
2019619$23K
2020149$6K
2021175$9K
2022639$33K
2023585$32K
2024incomplete154$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81% 1,760 1,361 $117K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11% 1,170 1,021 $16K
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 5.1% 92 77 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 19 15 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 14 14 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 15 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 48 43 $604.94
81002 <1% 65 61 $181.41
90461 0% 21 17 $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 officialCHUNG, WILLIAM (DOCTOR)