Physician
Internal Medicine and Pediatrics of West Michigan
Internal Medicine and Pediatrics of West Michigan was paid $890K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoINTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1104170661assigned 11/06/2012
33bProvider typeInternal Medicine Physician
28Total paid$890K
24GClaims20,986
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#131 of 816
Median peer was paid$70K
This provider vs. median13×
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 | 3,258 | $103K | |
| 2019 | 2,755 | $105K | |
| 2020 | 2,231 | $91K | |
| 2021 | 3,204 | $135K | |
| 2022 | 3,214 | $155K | |
| 2023 | 3,321 | $174K | |
| 2024incomplete | 3,003 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 3,732 | 3,507 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,996 | 4,694 | $309K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 1,008 | 1,002 | $79K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 618 | 617 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 712 | 656 | $47K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,056 | 1,051 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 204 | 204 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 1,806 | 1,756 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 552 | 537 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 67 | 66 | $6K |
| 96127 | <1% | 1,734 | 1,688 | $5K | |
| 90686 | <1% | 614 | 609 | $4K |
21 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $3K |
| 98966 | <1% | 346 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 81 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 100 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $968.04 |
| 83655 | <1% | 61 | $591.77 | |
| 90656 | <1% | 111 | $447.00 | |
| 80061 | Lipid panel | <1% | 37 | $431.28 |
| 90670 | <1% | 158 | $230.14 | |
| 90688 | <1% | 15 | $196.24 | |
| 99177 | <1% | 55 | $110.90 | |
| 36416 | <1% | 137 | $53.14 | |
| 3078F | 0% | 251 | $0.00 | |
| 90461 | 0% | 273 | $0.00 | |
| 1036F | 0% | 603 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,090 | $0.00 |
| 90698 | 0% | 13 | $0.00 | |
| 3079F | 0% | 63 | $0.00 | |
| 3074F | 0% | 323 | $0.00 | |
| 90680 | 0% | 24 | $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 officialRAWLINGS, DEANNA (OFFICE MANAGER)