Managed care
Jonesville Health Care PLLC
Jonesville Health Care PLLC was paid $2.98M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoJONESVILLE HEALTH CARE PLLC
JONESVILLE, MI 49250
JONESVILLE, MI 49250
33aNPI1063573830assigned 12/13/2006
33bProvider typeHealth Maintenance Organization
28Total paid$2.98M
24GClaims76,563
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Michigan
Rank by total paid#2 of 8
Median peer was paid$132K
This provider vs. median23×
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 | 12,544 | $427K | |
| 2019 | 12,817 | $422K | |
| 2020 | 10,137 | $328K | |
| 2021 | 8,560 | $372K | |
| 2022 | 9,576 | $458K | |
| 2023 | 11,055 | $542K | |
| 2024incomplete | 11,874 | $433K |
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 | 65% | 32,886 | 28,129 | $1.94M |
| 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 | 8.7% | 3,700 | 3,480 | $260K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 1,493 | 1,483 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,548 | 1,476 | $108K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 1,956 | 1,946 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 998 | 992 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 852 | 836 | $71K |
| 97802 | 1.7% | 2,342 | 2,294 | $50K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 2,324 | 2,306 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 3,732 | 3,698 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 324 | 318 | $27K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 93 | 92 | $26K |
46 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,421 | $25K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 208 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 583 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 919 | $12K |
| 87428 | <1% | 218 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,002 | $9K |
| 96127 | <1% | 2,156 | $5K | |
| 90686 | <1% | 616 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 133 | $4K |
| 82570 | <1% | 780 | $3K | |
| 81003 | <1% | 1,354 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 103 | $2K |
| 90474 | <1% | 112 | $1K | |
| 90670 | <1% | 1,016 | $650.58 | |
| 90677 | <1% | 95 | $586.70 | |
| 90656 | <1% | 48 | $559.87 | |
| 81025 | <1% | 42 | $246.13 | |
| 90651 | <1% | 88 | $229.34 | |
| 90734 | <1% | 12 | $128.85 | |
| 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% | 16 | $62.65 |
| 90715 | <1% | 12 | $39.51 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $11.73 |
| 3008F | <1% | 6,999 | $1.46 | |
| 3074F | <1% | 1,161 | $0.46 | |
| 3078F | <1% | 983 | $0.38 | |
| 3079F | <1% | 358 | $0.30 | |
| 3075F | <1% | 158 | $0.24 | |
| 3080F | <1% | 113 | $0.17 | |
| 3077F | <1% | 135 | $0.15 | |
| 3351F | <1% | 93 | $0.11 | |
| 90698 | 0% | 601 | $0.00 | |
| 90680 | 0% | 372 | $0.00 | |
| 90716 | 0% | 149 | $0.00 | |
| 90744 | 0% | 201 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 22 | $0.00 |
| G9920 | Screening performed and negative | 0% | 214 | $0.00 |
| 90707 | 0% | 173 | $0.00 | |
| 90633 | 0% | 219 | $0.00 | |
| 99401 | 0% | 208 | $0.00 | |
| 90648 | 0% | 50 | $0.00 | |
| 90685 | 0% | 63 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $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 officialMCMULLEN, SHEILA (MANAGER)