Physician
ST Clair Shores Obstetrics and Gynecolgy, PLC
ST Clair Shores Obstetrics and Gynecolgy, PLC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 59426, — 19% of everything it billed.
33Billing provider infoST CLAIR SHORES OBSTETRICS AND GYNECOLGY, PLC
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
33aNPI1164535886assigned 08/16/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.48M
24GClaims44,128
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#16 of 173
Median peer was paid$66K
This provider vs. median38×
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 | 5,219 | $272K | |
| 2019 | 5,435 | $322K | |
| 2020 | 5,532 | $291K | |
| 2021 | 7,233 | $416K | |
| 2022 | 7,059 | $405K | |
| 2023 | 7,941 | $489K | |
| 2024incomplete | 5,709 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 19% | 554 | 550 | $474K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 13% | 3,980 | 3,972 | $315K |
| 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 | 12% | 4,462 | 4,289 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,648 | 5,343 | $264K |
| 76830 | Ultrasound, transvaginal | 6.5% | 2,296 | 2,286 | $160K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.1% | 1,725 | 1,723 | $151K |
| 99385 | 5.9% | 1,519 | 1,516 | $146K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.3% | 1,955 | 1,948 | $106K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 1,477 | 1,408 | $96K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.4% | 113 | 113 | $84K |
| 76801 | 3.0% | 1,080 | 1,069 | $74K | |
| 59430 | 2.8% | 330 | 328 | $68K |
18 more codes
| 81025 | 1.4% | 5,036 | $34K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 426 | $34K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 285 | $28K |
| 58558 | 1.1% | 41 | $28K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 827 | $24K |
| 59025 | Fetal non-stress test | <1% | 733 | $21K |
| 81002 | <1% | 7,061 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,872 | $16K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 240 | $13K |
| 82274 | <1% | 861 | $10K | |
| 76813 | <1% | 95 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 74 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 90686 | <1% | 40 | $769.08 | |
| 90674 | <1% | 17 | $479.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | $392.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,234 | $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 officialRAPHTIS, CONSTANTINE (MEMBER)