Physician
Fenton Medical Center
Fenton Medical Center was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoFENTON MEDICAL CENTER
FENTON, MI 48430
FENTON, MI 48430
33aNPI1134165632assigned 06/22/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.31M
24GClaims90,236
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Michigan
Rank by total paid#21 of 134
Median peer was paid$91K
This provider vs. median14×
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 | 14,985 | $159K | |
| 2019 | 15,822 | $171K | |
| 2020 | 7,088 | $152K | |
| 2021 | 8,845 | $208K | |
| 2022 | 12,547 | $207K | |
| 2023 | 17,862 | $245K | |
| 2024incomplete | 13,087 | $170K |
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 | 49% | 7,710 | 7,289 | $647K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 8,814 | 8,049 | $524K |
| 99499 | 2.3% | 406 | 366 | $30K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 240 | 240 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 161 | 161 | $15K |
| 90674 | <1% | 502 | 502 | $13K | |
| 96127 | <1% | 3,894 | 3,808 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 496 | 491 | $8K |
| 81002 | <1% | 3,037 | 2,980 | $8K | |
| 93000 | <1% | 786 | 778 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 798 | 787 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 51 | 50 | $5K |
42 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 714 | $5K |
| 99406 | <1% | 279 | $2K | |
| 90632 | <1% | 27 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $995.16 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $992.82 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 32 | $991.77 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $495.72 |
| 90686 | <1% | 37 | $316.48 | |
| 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% | 78 | $146.91 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $116.20 |
| 82948 | <1% | 151 | $85.39 | |
| 98966 | <1% | 333 | $16.10 | |
| 3074F | <1% | 8,256 | $2.38 | |
| 3078F | <1% | 7,551 | $1.97 | |
| 3079F | <1% | 2,841 | $1.04 | |
| 1034F | <1% | 2,357 | $0.65 | |
| 3075F | <1% | 1,739 | $0.42 | |
| 1159F | <1% | 8,998 | $0.20 | |
| 1160F | <1% | 8,767 | $0.20 | |
| 3077F | <1% | 660 | $0.17 | |
| 4037F | <1% | 527 | $0.11 | |
| 3080F | <1% | 306 | $0.08 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 899 | $0.04 |
| 4000F | <1% | 53 | $0.02 | |
| 4013F | <1% | 44 | $0.02 | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 594 | $0.01 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 618 | $0.01 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,225 | $0.00 |
| 1036F | 0% | 8,770 | $0.00 | |
| 4010F | 0% | 49 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 284 | $0.00 |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 15 | $0.00 |
| 4008F | 0% | 19 | $0.00 | |
| 98967 | 0% | 32 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,089 | $0.00 |
| 3725F | 0% | 3,801 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 44 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 994 | $0.00 |
| 1033F | 0% | 30 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 31 | $0.00 |
| 4035F | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $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 officialDUNCAN, DEBORAH (MEDICAL DOCTOR/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Monarch Health and Recovery LLC | West Portsmouth, OH | $29K |
| Fenton Late Hours Clinic PC | Fenton, MI | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.