Carol M Fischer DO PLLC

Carol M Fischer DO PLLC was paid $71K by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoCAROL M FISCHER DO PLLC
MOUNT CLEMENS, MI 48043

33aNPI1174704985assigned 11/20/2007

33bProvider typeMedical Specialty Clinic/Center

28Total paid$71K

24GClaims2,152

24DCodes billed11

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Michigan

Rank by total paid#13 of 34

Median peer was paid$45K

This provider vs. median1.6×

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	1,296	$46K
2019	429	$11K
2020	360	$12K
2021	67	$2K

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	60%	767	684	$42K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	12%	112	104	$8K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	6.9%	82	73	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	5.7%	66	66	$4K
76830	Ultrasound, transvaginal	5.5%	57	56	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.1%	89	86	$4K
36415	Collection of venous blood by venipuncture	2.1%	610	520	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.7%	13	13	$1K
81002		<1%	272	234	$526.82
81025		<1%	69	67	$352.08
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	15	15	$325.48

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 officialGRALESKI, KIM (BILLER/ OFFICE MANAGER)