DR. Susan Seman PLC

DR. Susan Seman PLC was paid $60K by Medicaid between Jan 2018 and May 2024, across 3 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 58% of everything it billed.

33Billing provider infoDR. SUSAN SEMAN PLC
WEST BLOOMFIELD, MI 48322

33aNPI1134152150assigned 07/10/2006

33bProvider typeSurgery Physician

28Total paid$60K

24GClaims1,563

24DCodes billed3

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#41 of 111

Median peer was paid$17K

This provider vs. median3.5×

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	430	$17K
2019	442	$16K
2020	77	$3K
2021	132	$6K
2022	234	$9K
2023	170	$6K
2024incomplete	78	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	58%	476	466	$35K
99231	Subsequent hospital care, per day, straightforward or low complexity	39%	1,051	428	$23K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.0%	36	13	$2K

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 officialSEMAN, SUSAN (MANAGER)