Physician
ST. Clair Medical P.C
ST. Clair Medical P.C was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoST. CLAIR MEDICAL P.C
PORT HURON, MI 48060
PORT HURON, MI 48060
33aNPI1073563102assigned 05/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.94M
24GClaims53,052
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#64 of 826
Median peer was paid$98K
This provider vs. median20×
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 | 6,733 | $216K | |
| 2019 | 6,898 | $218K | |
| 2020 | 7,166 | $230K | |
| 2021 | 8,122 | $327K | |
| 2022 | 9,290 | $378K | |
| 2023 | 8,811 | $353K | |
| 2024incomplete | 6,032 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 16,390 | 14,207 | $1.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,705 | 6,112 | $394K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.6% | 2,465 | 2,443 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 4,133 | 4,082 | $25K |
| 80061 | Lipid panel | 1.2% | 2,457 | 2,437 | $24K |
| 80053 | Comprehensive metabolic panel | 1.2% | 2,890 | 2,854 | $24K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 220 | 219 | $22K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,588 | 2,576 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,278 | 2,067 | $18K |
| 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 | <1% | 94 | 93 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 310 | 303 | $10K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 526 | 523 | $9K |
45 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 84 | $8K |
| 94010 | <1% | 414 | $6K | |
| 99406 | <1% | 470 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 228 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 310 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 315 | $3K |
| 81002 | <1% | 971 | $2K | |
| 84480 | <1% | 195 | $2K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 99 | $2K |
| 84439 | <1% | 302 | $2K | |
| 93000 | <1% | 286 | $2K | |
| 90686 | <1% | 130 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 84 | $2K |
| 90756 | <1% | 85 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,248 | $2K |
| 99000 | <1% | 188 | $2K | |
| 80305 | <1% | 162 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 0012A | <1% | 36 | $1K | |
| 90674 | <1% | 53 | $1K | |
| 0011A | <1% | 39 | $1K | |
| 81003 | <1% | 671 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $985.76 |
| 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% | 264 | $971.12 |
| 96127 | <1% | 254 | $928.14 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 212 | $771.13 |
| 84703 | <1% | 90 | $573.81 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 360 | $473.25 |
| 90688 | <1% | 21 | $383.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $205.35 |
| 96160 | <1% | 40 | $112.98 | |
| 83735 | <1% | 24 | $85.68 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 57 | $56.53 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $7.54 |
| 3075F | 0% | 131 | $0.00 | |
| 3079F | 0% | 428 | $0.00 | |
| 3044F | 0% | 882 | $0.00 | |
| 3074F | 0% | 625 | $0.00 | |
| 3048F | 0% | 32 | $0.00 | |
| 91301 | 0% | 73 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 141 | $0.00 |
| 3078F | 0% | 532 | $0.00 | |
| 1159F | 0% | 282 | $0.00 | |
| 3077F | 0% | 112 | $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 officialSABBAGH, IRA (OWNER)