Physician
Macomb Primary Care PC
Macomb Primary Care PC was paid $226K by Medicaid between Jan 2018 and Jul 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoMACOMB PRIMARY CARE PC
SHELBY TOWNSHIP, MI 48316
SHELBY TOWNSHIP, MI 48316
33aNPI1073842241assigned 12/16/2009
33bProvider typeInternal Medicine Physician
28Total paid$226K
24GClaims8,078
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#275 of 816
Median peer was paid$70K
This provider vs. median3.2×
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 | 399 | $24K | |
| 2019 | 734 | $21K | |
| 2020 | 945 | $20K | |
| 2021 | 1,980 | $47K | |
| 2022 | 1,824 | $49K | |
| 2023 | 1,663 | $48K | |
| 2024incomplete | 533 | $17K |
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 | 76% | 2,010 | 1,944 | $171K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 371 | 351 | $23K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.7% | 448 | 135 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 209 | 193 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 30 | 30 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $1K |
| 99442 | <1% | 15 | 15 | $1K | |
| 99219 | <1% | 12 | 12 | $918.03 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 13 | $573.43 |
| 3077F | 0% | 317 | 290 | $0.00 | |
| 3078F | 0% | 1,221 | 1,113 | $0.00 | |
| 3079F | 0% | 1,020 | 971 | $0.00 |
4 more codes
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 officialMANSOUR, CHADI (PHYSICIAN)