Physician
Sound Inpatient Physicians-Michigan, PLLC
Sound Inpatient Physicians-Michigan, PLLC was paid $12.40M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 26% of everything it billed.
33Billing provider infoSOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC
KALAMAZOO, MI 49048
KALAMAZOO, MI 49048
33aNPI1093967861assigned 10/10/2008
33bProvider typeFamily Medicine Physician
28Total paid$12.40M
24GClaims215,767
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#11 of 826
Median peer was paid$98K
This provider vs. median127×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
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 | 17,537 | $945K | |
| 2019 | 27,440 | $1.53M | |
| 2020 | 34,959 | $1.90M | |
| 2021 | 39,696 | $2.21M | |
| 2022 | 37,056 | $2.04M | |
| 2023 | 31,954 | $1.98M | |
| 2024incomplete | 27,125 | $1.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 56,579 | 21,772 | $3.23M |
| 99223 | Prolong inpt eval add15 m | 20% | 24,054 | 22,787 | $2.43M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 51,925 | 18,437 | $2.04M |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 27,289 | 25,963 | $1.58M |
| 99220 | 7.6% | 10,047 | 9,741 | $939K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.2% | 5,510 | 3,076 | $651K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.8% | 5,105 | 4,937 | $353K |
| 99217 | 2.1% | 7,508 | 7,328 | $266K | |
| 99219 | 1.5% | 2,643 | 2,565 | $182K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 4,296 | 3,119 | $180K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,747 | 2,686 | $108K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,841 | 1,424 | $90K |
18 more codes
| 99497 | <1% | 1,757 | $63K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,696 | $59K |
| 99226 | <1% | 3,493 | $48K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,228 | $39K |
| 99306 | Prolong nursin fac eval 15m | <1% | 635 | $36K |
| 99356 | <1% | 1,362 | $29K | |
| 99225 | <1% | 2,976 | $28K | |
| 99292 | <1% | 421 | $26K | |
| 99236 | Prolong inpt eval add15 m | <1% | 113 | $13K |
| 99221 | <1% | 132 | $6K | |
| 99406 | <1% | 730 | $5K | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 430 | $3K |
| 99316 | <1% | 51 | $3K | |
| G0182 | Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more | <1% | 36 | $713.56 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 18 | $513.54 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 57 | $491.05 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 59 | $68.14 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 29 | $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 officialFALL, LAURA (MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.