Physician
Metropolitan Hospital
Metropolitan Hospital was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMETROPOLITAN HOSPITAL
WYOMING, MI 49548
WYOMING, MI 49548
33aNPI1114947538assigned 07/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.13M
24GClaims58,943
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#57 of 816
Median peer was paid$70K
This provider vs. median30×
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 | 9,449 | $296K | |
| 2019 | 9,465 | $290K | |
| 2020 | 7,738 | $251K | |
| 2021 | 8,792 | $336K | |
| 2022 | 9,155 | $367K | |
| 2023 | 7,391 | $318K | |
| 2024incomplete | 6,953 | $273K |
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 | 53% | 32,662 | 28,944 | $1.14M |
| 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 | 16% | 6,564 | 6,194 | $341K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,684 | 1,681 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 1,666 | 1,664 | $95K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 1,768 | 1,743 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 1,454 | 1,425 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 1,043 | 1,042 | $67K |
| 59025 | Fetal non-stress test | 3.1% | 4,035 | 2,981 | $66K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 930 | 929 | $60K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.3% | 683 | 681 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,672 | 1,575 | $28K |
| 98927 | <1% | 631 | 539 | $15K |
14 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 177 | $13K |
| 98926 | <1% | 324 | $6K | |
| 98928 | <1% | 114 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 50 | $3K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 164 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 199 | $770.93 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $555.77 |
| 92551 | <1% | 190 | $518.40 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 393 | $241.58 |
| 99442 | <1% | 35 | $135.11 | |
| 98966 | <1% | 40 | $25.01 | |
| 96127 | <1% | 279 | $8.94 | |
| 98967 | <1% | 13 | $7.00 | |
| 99173 | <1% | 2,159 | $4.26 |
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 officialSUSTERICH, TIMOTHY (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Metropolitan Hospital | Wyoming, MI | $3.62M |
| Metropolitan Hospital | Wyoming, MI | $102K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.