Behavioral
Scheurer Hospital
Scheurer Hospital was paid $520K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoSCHEURER HOSPITAL
PIGEON, MI 48755
PIGEON, MI 48755
33aNPI1104016849assigned 07/30/2007
33bProvider typeClinical Social Worker
28Total paid$520K
24GClaims22,212
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#63 of 411
Median peer was paid$49K
This provider vs. median11×
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 | 4,740 | $95K | |
| 2019 | 3,505 | $68K | |
| 2020 | 3,417 | $66K | |
| 2021 | 2,009 | $45K | |
| 2022 | 2,271 | $55K | |
| 2023 | 3,319 | $89K | |
| 2024incomplete | 2,951 | $101K |
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 | 52% | 5,913 | 5,539 | $271K |
| 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 | 29% | 2,402 | 2,321 | $150K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 650 | 646 | $37K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.1% | 679 | 594 | $32K |
| 87428 | 1.8% | 223 | 216 | $9K | |
| 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 | 1.8% | 104 | 104 | $9K |
| 90686 | <1% | 221 | 217 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 30 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 144 | 80 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 272 | 270 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $963.88 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 29 | 29 | $442.44 |
13 more codes
| 92567 | <1% | 40 | $367.08 | |
| 99406 | <1% | 28 | $199.72 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $160.78 |
| 96127 | <1% | 54 | $130.02 | |
| 81003 | <1% | 15 | $6.87 | |
| 3074F | <1% | 4,244 | $4.78 | |
| 3078F | <1% | 3,687 | $4.02 | |
| 3079F | <1% | 1,940 | $2.11 | |
| 3075F | <1% | 773 | $0.48 | |
| 3077F | <1% | 569 | $0.48 | |
| 3080F | <1% | 139 | $0.02 | |
| 97802 | 0% | 13 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 16 | $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 officialRAMSEY, ROSS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Scheurer Hospital | Pigeon, MI | $3.15M |
| Scheurer Hospital | Pigeon, MI | $1.81M |
| Scheurer Hospital | Pigeon, MI | $571K |
| Scheurer Hospital | Sebewaing, MI | $268K |
| Scheurer Hospital | Bad Axe, MI | $257K |
| Oakdale Chiropractic Clinic | Oakdale, LA | $185K |
| Scheurer Hospital | Elkton, MI | $140K |
| Scheurer Hospital | Pigeon, MI | $107K |
| Scheurer Hospital | Caseville, MI | $102K |
| Scheurer Hospital | Pigeon, MI | $0.03 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.