Downriver Ent PC

Downriver Ent PC was paid $3.44M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 31298, — 23% of everything it billed.

33Billing provider infoDOWNRIVER ENT PC
ALLEN PARK, MI 48101

33aNPI1134304595assigned 01/04/2008

33bProvider typeOtolaryngology Physician

28Total paid$3.44M

24GClaims74,147

24DCodes billed37

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Michigan

Rank by total paid#1 of 31

Median peer was paid$294K

This provider vs. median12×

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	10,291	$387K
2019	10,683	$424K
2020	9,950	$514K
2021	14,211	$800K
2022	11,985	$489K
2023	10,336	$471K
2024incomplete	6,691	$354K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31298		23%	315	314	$804K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	15%	2,432	2,421	$519K
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	13%	6,942	6,502	$448K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	10%	3,881	3,872	$347K
31231		9.9%	3,177	3,162	$341K
95024		5.7%	1,608	1,605	$195K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	3,124	2,995	$150K
31295		4.1%	200	197	$141K
95117		3.5%	18,804	7,743	$120K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	1,456	1,455	$91K
69210		1.4%	2,005	1,961	$48K
31575		1.4%	719	707	$48K

25 more codes

31237		1.3%	241	$46K
92557		1.1%	1,737	$37K
30140		<1%	226	$25K
92550		<1%	1,736	$22K
30901		<1%	292	$14K
92585		<1%	139	$10K
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	5,790	$9K
92625		<1%	174	$7K
92588		<1%	342	$6K
V5160	Dispensing fee, binaural	<1%	16	$4K
92653		<1%	68	$3K
30520		<1%	14	$689.65
30125		<1%	14	$475.80
V5266	Battery for use in hearing device	<1%	13	$443.52
61782		<1%	12	$413.10
V5020	Conformity evaluation	<1%	13	$382.50
64400		<1%	41	$276.55
64402		<1%	14	$39.82
92584		<1%	13	$15.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	11,594	$2.25
99024		<1%	179	$0.76
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	4,991	$0.00
4004F		0%	1,053	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	759	$0.00
1036F		0%	13	$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 officialPINNOCK, LASCELLES (OTOLARYNGOLOGY)