Michigan Respiratory and Sleep Physicians PLLC

Michigan Respiratory and Sleep Physicians PLLC was paid $87K by Medicaid between Jan 2018 and Feb 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoMICHIGAN RESPIRATORY AND SLEEP PHYSICIANS PLLC
NOVI, MI 48377

33aNPI1043627524assigned 07/17/2014

33bProvider typePulmonary Disease Physician

28Total paid$87K

24GClaims1,965

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Michigan

Rank by total paid#35 of 63

Median peer was paid$118K

This provider vs. median0.7×

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	267	$10K
2019	282	$11K
2020	200	$8K
2021	382	$17K
2022	347	$17K
2023	443	$22K
2024incomplete	44	$2K

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	84%	1,687	1,621	$73K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	10%	141	141	$9K
95806		2.3%	46	46	$2K
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	1.1%	16	15	$969.92
94729		<1%	25	25	$750.40
94726		<1%	25	25	$706.42
94010		<1%	25	25	$366.54

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 officialMACDONALD, LAWRENCE (MANAGER)