Physician
Michigan Surgery Specialists, P.C.
Michigan Surgery Specialists, P.C. was paid $6.78M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoMICHIGAN SURGERY SPECIALISTS, P.C.
WARREN, MI 48093
WARREN, MI 48093
33aNPI1184828451assigned 06/12/2007
33bProvider typeDiagnostic Radiology Physician
28Total paid$6.78M
24GClaims176,969
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in Michigan
Rank by total paid#12 of 139
Median peer was paid$28K
This provider vs. median242×
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 | 17,126 | $641K | |
| 2019 | 17,721 | $678K | |
| 2020 | 20,774 | $730K | |
| 2021 | 27,715 | $977K | |
| 2022 | 29,668 | $1.10M | |
| 2023 | 37,380 | $1.46M | |
| 2024incomplete | 26,585 | $1.19M |
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 | 20% | 21,506 | 19,557 | $1.36M |
| 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 | 16% | 12,425 | 12,319 | $1.10M |
| 29075 | 10% | 14,785 | 10,692 | $707K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 12,657 | 11,564 | $561K |
| 73130 | 6.7% | 22,902 | 17,250 | $456K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 5,727 | 5,676 | $332K |
| 73110 | 3.7% | 11,422 | 8,671 | $251K | |
| 64721 | 3.4% | 1,258 | 1,202 | $231K | |
| 76942 | 3.1% | 7,760 | 7,484 | $209K | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | 2.9% | 14,537 | 10,530 | $197K |
| 26440 | 2.6% | 376 | 260 | $177K | |
| 20680 | 2.4% | 875 | 796 | $165K |
53 more codes
| 20526 | 2.2% | 4,072 | $152K | |
| 76881 | 2.0% | 3,892 | $133K | |
| 20550 | 1.8% | 5,449 | $124K | |
| 26445 | 1.7% | 280 | $112K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.3% | 10,974 | $90K |
| 29130 | <1% | 2,216 | $50K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 651 | $38K |
| 20611 | <1% | 718 | $35K | |
| 76882 | <1% | 1,115 | $34K | |
| 29125 | <1% | 829 | $32K | |
| 73564 | <1% | 1,229 | $31K | |
| 26600 | <1% | 191 | $31K | |
| 29085 | <1% | 379 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 851 | $22K |
| 20604 | <1% | 613 | $22K | |
| 73030 | <1% | 1,010 | $19K | |
| 29280 | <1% | 1,058 | $17K | |
| 20606 | <1% | 499 | $17K | |
| 25295 | <1% | 16 | $9K | |
| 73080 | <1% | 330 | $6K | |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass | <1% | 599 | $5K |
| 73050 | <1% | 336 | $5K | |
| 97760 | <1% | 80 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $4K |
| 73140 | <1% | 165 | $3K | |
| 97022 | <1% | 249 | $2K | |
| Q4049 | Finger splint, static | <1% | 1,415 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $2K |
| 20670 | <1% | 17 | $2K | |
| 29065 | <1% | 34 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 109 | $2K |
| 20551 | <1% | 51 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 20612 | <1% | 28 | $893.94 | |
| Q4014 | Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass | <1% | 76 | $710.00 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 118 | $702.81 |
| 20610 | <1% | 29 | $482.50 | |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 71 | $479.38 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $462.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 39 | $457.88 |
| 73610 | <1% | 16 | $374.88 | |
| Q4006 | Cast supplies, long arm cast, adult (11 years +), fiberglass | <1% | 14 | $235.62 |
| 73562 | <1% | 16 | $145.02 | |
| Q4009 | Cast supplies, short arm cast, adult (11 years +), plaster | <1% | 16 | $101.44 |
| 99072 | <1% | 4,234 | $97.00 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 13 | $81.86 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 14 | $72.64 |
| 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% | 14 | $26.86 |
| 99070 | <1% | 160 | $4.00 | |
| 99024 | 0% | 6,054 | $0.00 | |
| 99406 | 0% | 84 | $0.00 | |
| A4590 | Special casting material (e.g., fiberglass) | 0% | 172 | $0.00 |
| A4570 | Splint | 0% | 51 | $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 officialKUDLOR, MICHELE (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Michigan Surgery Specialists P.C. | Warren, MI | $2.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.