Physician
Observation Physicians of Macomb PLLC
Observation Physicians of Macomb PLLC was paid $1.38M by Medicaid between Jul 2020 and Dec 2024, across 14 billing codes. Its largest line is 99220, — 31% of everything it billed.
33Billing provider infoOBSERVATION PHYSICIANS OF MACOMB PLLC
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
33aNPI1144855941assigned 03/12/2020
33bProvider typeEmergency Medicine Physician
28Total paid$1.38M
24GClaims22,535
24DCodes billed14
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Michigan
Rank by total paid#46 of 248
Median peer was paid$57K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 2,685 | $160K | |
| 2021 | 5,467 | $312K | |
| 2022 | 5,274 | $225K | |
| 2023 | 5,807 | $400K | |
| 2024incomplete | 3,302 | $279K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99220 | 31% | 4,434 | 4,126 | $426K | |
| 99223 | Prolong inpt eval add15 m | 22% | 2,846 | 2,642 | $298K |
| 99217 | 13% | 4,568 | 4,281 | $174K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 2,213 | 2,132 | $152K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.9% | 2,941 | 982 | $137K |
| 99236 | Prolong inpt eval add15 m | 5.7% | 629 | 619 | $79K |
| 99218 | 2.5% | 663 | 634 | $35K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 310 | 208 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 211 | 183 | $15K |
| 99219 | <1% | 194 | 190 | $13K | |
| 99225 | <1% | 2,096 | 960 | $11K | |
| 99226 | <1% | 1,229 | 434 | $9K |
2 more codes
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 officialFASHHO, OSAMA (AUTHORIZED OFFICIAL)