Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Port Huron › NPI 1184055394
Physician

ST. Clair Obstetrics & Gynecology, PLLC

ST. Clair Obstetrics & Gynecology, PLLC was paid $161K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 39% of everything it billed.

33Billing provider infoST. CLAIR OBSTETRICS & GYNECOLOGY, PLLC
PORT HURON, MI 48060
33aNPI1184055394assigned 12/13/2013
28Total paid$161K
24GClaims3,756
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Michigan

Rank by total paid#70 of 173
Median peer was paid$66K
This provider vs. median2.4×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018232$7K
2019423$17K
2020529$19K
2021625$24K
2022532$23K
2023739$39K
2024incomplete676$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76830 Ultrasound, transvaginal 39% 883 878 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,001 968 $47K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13% 258 258 $20K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5.6% 139 124 $9K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 3.7% 255 255 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 78 78 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.7% 502 449 $4K
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 2.4% 53 53 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 12 $1K
81025 <1% 114 111 $709.85
99442 <1% 12 12 $632.28
59025 Fetal non-stress test <1% 16 12 $350.24
3 more codes
36415 Collection of venous blood by venipuncture <1% 74 $188.83
87210 <1% 12 $57.84
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 347 $3.96

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 officialPOWSER, TERESA (OFFICE MANAGER)