Clinic
Advantage Health Saint Mary's Medical Group
Advantage Health Saint Mary's Medical Group was paid $316K by Medicaid between Jan 2018 and Sep 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
ROCKFORD, MI 49341
ROCKFORD, MI 49341
33aNPI1083014914assigned 08/28/2014
33bProvider typeUrgent Care Clinic/Center
28Total paid$316K
24GClaims7,078
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#123 of 239
Median peer was paid$346K
This provider vs. median0.9×
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 | 2,227 | $95K | |
| 2019 | 2,027 | $94K | |
| 2020 | 1,662 | $69K | |
| 2021 | 1,162 | $58K |
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 | 70% | 5,351 | 5,137 | $222K |
| 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 | 16% | 889 | 880 | $51K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 625 | 615 | $35K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 188 | 187 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 25 | $655.30 |
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 officialBLAIR, DAVID (CMO)
| Provider | Location | Paid |
|---|---|---|
| Advantage Health/Saint Mary's Medical Group | Sparta, MI | $296K |
| Denver Family Therapy Center INC | Wheat Ridge, CO | $193K |
| Blair Counseling Services | Syracuse, NY | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.