Physician
ST Clair Specialty Physicians PC
ST Clair Specialty Physicians PC was paid $4.12M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.
33Billing provider infoST CLAIR SPECIALTY PHYSICIANS PC
ROSEVILLE, MI 48066
ROSEVILLE, MI 48066
33aNPI1154361616assigned 06/06/2006
33bProvider typeVascular Surgery Physician
28Total paid$4.12M
24GClaims79,754
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Vascular Surgery Physician providers in Michigan
Rank by total paid#2 of 34
Median peer was paid$65K
This provider vs. median63×
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 | 9,835 | $462K | |
| 2019 | 10,449 | $485K | |
| 2020 | 11,483 | $538K | |
| 2021 | 12,759 | $619K | |
| 2022 | 12,651 | $646K | |
| 2023 | 11,703 | $722K | |
| 2024incomplete | 10,874 | $647K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 34,252 | 7,831 | $1.34M |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 18% | 7,595 | 7,099 | $726K |
| 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 | 15% | 11,060 | 10,448 | $617K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.6% | 5,580 | 5,113 | $397K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.2% | 3,313 | 1,086 | $216K |
| 99223 | Prolong inpt eval add15 m | 5.1% | 2,086 | 2,005 | $210K |
| 90966 | 3.5% | 1,482 | 1,423 | $143K | |
| 90961 | 3.1% | 1,763 | 1,584 | $127K | |
| 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 | 2.0% | 986 | 984 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,497 | 1,391 | $58K |
| 36902 | 1.2% | 222 | 219 | $50K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 855 | 403 | $32K |
18 more codes
| 93970 | <1% | 1,414 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 392 | $30K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,233 | $25K |
| 93971 | <1% | 1,186 | $16K | |
| 90962 | <1% | 136 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,309 | $4K |
| 99442 | <1% | 101 | $3K | |
| 99441 | <1% | 213 | $2K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,445 | $2K |
| 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% | 963 | $2K |
| 93880 | <1% | 59 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $1K |
| 77001 | <1% | 24 | $673.50 | |
| 90756 | <1% | 13 | $251.15 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $171.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $77.14 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 258 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 264 | $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 officialPROVENZANO, CHRISTOPHER (CEO/MANAGING EMPLOYEE (W2))