Physician
Lighthouse Family Medicine, PLLC
Lighthouse Family Medicine, PLLC was paid $245K by Medicaid between Jan 2018 and Jun 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoLIGHTHOUSE FAMILY MEDICINE, PLLC
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
33aNPI1114222031assigned 01/25/2011
33bProvider typeFamily Medicine Physician
28Total paid$245K
24GClaims6,178
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#297 of 826
Median peer was paid$98K
This provider vs. median2.5×
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 | 1,577 | $55K | |
| 2019 | 1,355 | $50K | |
| 2020 | 1,071 | $41K | |
| 2021 | 1,107 | $50K | |
| 2022 | 944 | $40K | |
| 2023 | 124 | $8K |
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 | 68% | 3,357 | 3,020 | $166K |
| 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 | 28% | 1,033 | 973 | $68K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | 24 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 874 | 823 | $2K |
| 90688 | <1% | 148 | 145 | $1K | |
| 99497 | <1% | 38 | 38 | $1K | |
| 99051 | <1% | 306 | 296 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 175 | 172 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 45 | 45 | $866.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | 52 | $403.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 13 | $274.67 |
| 96127 | <1% | 25 | 24 | $85.68 |
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 officialDOWDEN, G. (MEDICAL DOCTOR)