Physician
Metro Womens Health PLLC
Metro Womens Health PLLC was paid $13.41M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 59426, — 25% of everything it billed.
33Billing provider infoMETRO WOMENS HEALTH PLLC
DETROIT, MI 48201
DETROIT, MI 48201
33aNPI1093145377assigned 11/22/2013
33bProvider typeObstetrics Physician
28Total paid$13.41M
24GClaims175,094
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Michigan
Rank by total paid#1 of 9
Median peer was paid$36K
This provider vs. median378×
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 | 16,198 | $1.20M | |
| 2019 | 19,027 | $1.54M | |
| 2020 | 24,482 | $1.78M | |
| 2021 | 28,114 | $2.14M | |
| 2022 | 27,646 | $2.29M | |
| 2023 | 29,688 | $2.33M | |
| 2024incomplete | 29,939 | $2.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 25% | 3,917 | 3,843 | $3.34M | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 22% | 3,847 | 3,808 | $2.89M |
| 59514 | 12% | 1,981 | 1,956 | $1.66M | |
| 59425 | 5.5% | 1,569 | 1,537 | $739K | |
| 59430 | 5.5% | 3,370 | 3,348 | $732K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 12,813 | 11,821 | $623K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.8% | 6,408 | 6,354 | $514K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.7% | 7,600 | 7,129 | $494K |
| 59025 | Fetal non-stress test | 2.2% | 10,684 | 4,245 | $297K |
| 99385 | 1.9% | 2,647 | 2,634 | $255K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 2,935 | 2,923 | $232K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 3,654 | 3,639 | $232K |
33 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 2,270 | $206K |
| 76801 | 1.5% | 2,854 | $200K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 2,109 | $138K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,515 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,339 | $70K |
| 90715 | <1% | 2,099 | $69K | |
| 81025 | <1% | 10,124 | $69K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,302 | $66K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,160 | $63K |
| 81002 | <1% | 26,842 | $63K | |
| 99386 | <1% | 488 | $54K | |
| 76820 | <1% | 1,600 | $43K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 457 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,052 | $37K |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 42 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,443 | $27K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 524 | $20K |
| 54150 | <1% | 312 | $18K | |
| 99459 | <1% | 962 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 298 | $12K |
| 58300 | <1% | 173 | $11K | |
| 90686 | <1% | 339 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 58 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,212 | $6K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 34 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 40 | $941.05 |
| 96160 | <1% | 577 | $529.31 | |
| 99000 | <1% | 281 | $276.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $135.16 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 3,143 | $86.08 |
| 0502F | <1% | 41,415 | $66.16 | |
| 0500F | <1% | 1,575 | $0.14 | |
| 0503F | <1% | 15 | $0.05 |
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 officialKMAK, DAVID (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Metro Women's Health II, PLLC | Detroit, MI | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.