Physician
Thomas W Pfennig DO
Thomas W Pfennig DO was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoTHOMAS W PFENNIG DO
WYOMING, MI 49509
WYOMING, MI 49509
33aNPI1063639870assigned 04/20/2007
33bProvider typeOtolaryngology Physician
28Total paid$3.08M
24GClaims76,781
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Michigan
Rank by total paid#2 of 31
Median peer was paid$294K
This provider vs. median10×
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 | 13,205 | $401K | |
| 2019 | 12,765 | $381K | |
| 2020 | 9,893 | $341K | |
| 2021 | 9,482 | $408K | |
| 2022 | 10,353 | $481K | |
| 2023 | 11,765 | $564K | |
| 2024incomplete | 9,318 | $503K |
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 | 16% | 11,476 | 11,208 | $502K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 3,837 | 3,810 | $387K |
| 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 | 10% | 5,137 | 5,056 | $320K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.4% | 3,375 | 3,358 | $290K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 9.1% | 1,711 | 1,694 | $280K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.9% | 2,055 | 1,992 | $244K |
| 31231 | 6.4% | 2,082 | 2,036 | $197K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.0% | 1,037 | 1,032 | $154K |
| 92567 | 3.9% | 13,816 | 13,598 | $120K | |
| 99243 | 3.3% | 1,506 | 1,496 | $102K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,423 | 1,421 | $83K |
| 92557 | 2.4% | 3,735 | 3,703 | $74K |
26 more codes
| 31575 | 2.1% | 1,057 | $63K | |
| 92587 | 1.6% | 3,983 | $48K | |
| 99245 | 1.4% | 346 | $44K | |
| 95117 | 1.3% | 6,682 | $40K | |
| 92552 | <1% | 1,542 | $29K | |
| 31237 | <1% | 131 | $25K | |
| 92555 | <1% | 1,244 | $17K | |
| 92553 | <1% | 498 | $11K | |
| 30520 | <1% | 29 | $9K | |
| 95024 | <1% | 70 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 49 | $7K |
| 30140 | <1% | 70 | $6K | |
| 92556 | <1% | 241 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 139 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 69 | $4K |
| 42830 | <1% | 27 | $2K | |
| 69210 | <1% | 171 | $2K | |
| 92511 | <1% | 30 | $1K | |
| 99254 | <1% | 12 | $979.40 | |
| 1036F | 0% | 2,789 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 917 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,101 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 2,113 | $0.00 |
| 4004F | 0% | 244 | $0.00 | |
| 69990 | 0% | 12 | $0.00 | |
| 3288F | 0% | 25 | $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 officialPFENNIG, THOMAS (OWNER)