Paragon Health, PC

Paragon Health, PC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 38% of everything it billed.

33Billing provider infoPARAGON HEALTH, PC
KALAMAZOO, MI 49007

33aNPI1083678767assigned 04/12/2006

33bProvider typeNephrology Physician

28Total paid$1.07M

24GClaims14,168

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in Michigan

Rank by total paid#13 of 51

Median peer was paid$191K

This provider vs. median5.6×

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	1,479	$95K
2019	1,311	$86K
2020	1,834	$119K
2021	2,602	$192K
2022	2,427	$194K
2023	2,433	$201K
2024incomplete	2,082	$180K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	38%	2,502	2,491	$409K
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	22%	3,717	3,683	$239K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	3,468	1,361	$142K
90935	Hemodialysis procedure with single evaluation by a physician	6.8%	1,818	654	$72K
99222	Initial hospital care, per day, moderate complexity	5.8%	874	804	$62K
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	5.7%	674	669	$61K
99223	Prolong inpt eval add15 m	4.0%	381	372	$43K
90961		2.7%	203	202	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	108	105	$5K
90966		<1%	30	30	$4K
81002		<1%	367	363	$870.57
99072		0%	26	26	$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 officialRUMMEL, MARK (PRESIDENT)

Parent organizationPARAGON HEALTH, PC

Same official

Other billing entities under RUMMEL, MARK

Full network →

Provider	Location	Paid
Paragon Health, P.C.	Portage, MI	$530K
Paragon Health PC	Kalamazoo, MI	$189K
Paragon Health, PC	Kalamazoo, MI	$133K
Paragon Health PC	Kalamazoo, MI	$78K
Paragon Health, PC	Kalamazoo, MI	$50K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.