Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Macomb Surgical Specialists,plc

Macomb Surgical Specialists,plc was paid $13K by Medicaid between Jan 2018 and Sep 2018, across 2 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 94% of everything it billed.

33Billing provider infoMACOMB SURGICAL SPECIALISTS,PLC
WARREN, MI 48088
33aNPI1083661656assigned 05/28/2006
33bProvider typeSurgery Physician
28Total paid$13K
24GClaims139
24DCodes billed2
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#60 of 111
Median peer was paid$17K
This provider vs. median0.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018139$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 94% 117 112 $12K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.4% 22 13 $857.01

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 officialGOHEL, NARENDRA (OWNER)