Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northern Michigan Heart Center, PLLC

Northern Michigan Heart Center, PLLC was paid $78K by Medicaid between Nov 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoNORTHERN MICHIGAN HEART CENTER, PLLC
ALPENA, MI 49707
33aNPI1053819623assigned 01/29/2018
28Total paid$78K
24GClaims2,518
24DCodes billed5
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Michigan

Rank by total paid#47 of 91
Median peer was paid$81K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
201812$85.59
2019244$6K
2020267$7K
2021490$16K
2022493$17K
2023565$20K
2024incomplete447$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 82% 1,080 1,038 $64K
93000 12% 1,313 1,279 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 67 63 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 26 25 $2K
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) <1% 32 31 $80.02

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 officialMULHOLLAND, JENNIFER (OFFICE MANAGER)