Degara App HM, PLLC

Degara App HM, PLLC was paid $3.23M by Medicaid between Jan 2018 and Jul 2023, across 19 billing codes. Its largest line is 99284, emergency room visit (serious) — 36% of everything it billed.

33Billing provider infoDEGARA APP HM, PLLC
LANSING, MI 48910

33aNPI1043745730assigned 05/01/2017

33bProvider typeMedical Physician Assistant

28Total paid$3.23M

24GClaims59,118

24DCodes billed19

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Medical Physician Assistant providers in Michigan

Rank by total paid#2 of 19

Median peer was paid$12K

This provider vs. median264×

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	2,886	$84K
2019	533	$14K
2021	10,633	$620K
2022	27,675	$1.57M
2023	17,391	$946K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	19,854	18,770	$1.15M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	31%	15,097	14,399	$997K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	25%	11,979	10,982	$797K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.0%	805	788	$96K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	1,903	363	$43K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.2%	626	615	$40K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	6,802	6,264	$28K
99239	Hospital discharge day management, more than 30 minutes	<1%	542	324	$18K
99223	Prolong inpt eval add15 m	<1%	258	154	$15K
99222	Initial hospital care, per day, moderate complexity	<1%	386	208	$14K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	178	176	$12K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	192	65	$7K

7 more codes

12001		<1%	201	$5K
12002		<1%	90	$3K
12011		<1%	43	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	81	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	57	$813.63
10060		<1%	12	$706.62
64400		<1%	12	$118.08

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 officialSOMERBY, CHARLES (VP)

Same official

Other billing entities under SOMERBY, CHARLES

Full network →

Provider	Location	Paid
App of Arkansas Ed PLLC	Helena, AR	$747K
App of South Carolina HM PLLC	Hartsville, SC	$362K
Degara Garden City App, PLLC	Garden City, MI	$336K
App of Ohio HM PLLC	La Porte, IN	$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.