Physician
Mclaren Lapeer Region
Mclaren Lapeer Region was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoMCLAREN LAPEER REGION
LAPEER, MI 48446
LAPEER, MI 48446
33aNPI1184998288assigned 03/07/2012
33bProvider typeSurgery Physician
28Total paid$2.23M
24GClaims81,588
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Michigan
Rank by total paid#4 of 111
Median peer was paid$17K
This provider vs. median131×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KORTE, FRED controls 12+ related entities in our dataset. Read more
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 | 15,649 | $285K | |
| 2019 | 17,380 | $406K | |
| 2020 | 13,157 | $337K | |
| 2021 | 12,273 | $368K | |
| 2022 | 9,008 | $284K | |
| 2023 | 8,216 | $300K | |
| 2024incomplete | 5,905 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 23,200 | 21,225 | $470K |
| 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 | 13% | 8,116 | 7,808 | $283K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 7,000 | 2,320 | $264K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 1,796 | 1,685 | $168K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.5% | 3,479 | 3,399 | $168K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.9% | 2,348 | 2,238 | $132K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.0% | 1,638 | 1,415 | $111K |
| 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 | 3.3% | 993 | 984 | $73K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 1,301 | 574 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 2,139 | 2,107 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 2,265 | 2,257 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 3,205 | 3,160 | $55K |
63 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 994 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 1,179 | $37K |
| 99220 | 1.5% | 394 | $34K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,372 | $26K |
| 99217 | 1.1% | 743 | $25K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 910 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,068 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 516 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 412 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 259 | $14K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 405 | $11K |
| 99219 | <1% | 133 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 970 | $7K |
| 99460 | <1% | 126 | $7K | |
| 99381 | <1% | 109 | $6K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 53 | $5K |
| 90686 | <1% | 727 | $4K | |
| 85018 | <1% | 1,690 | $4K | |
| 81003 | <1% | 1,212 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,936 | $2K |
| 99000 | <1% | 168 | $2K | |
| 90651 | <1% | 146 | $941.61 | |
| 36416 | <1% | 72 | $917.40 | |
| 90715 | <1% | 218 | $809.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 133 | $794.56 |
| 90620 | <1% | 24 | $773.27 | |
| 96160 | <1% | 15 | $750.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 336 | $653.17 |
| 92557 | <1% | 35 | $580.48 | |
| 92567 | <1% | 81 | $575.91 | |
| 92551 | <1% | 75 | $464.31 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 38 | $414.05 |
| 99225 | <1% | 45 | $355.94 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $349.59 |
| 20610 | <1% | 13 | $341.96 | |
| 99442 | <1% | 32 | $333.54 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 63 | $331.79 |
| 69210 | <1% | 15 | $264.59 | |
| 90734 | <1% | 160 | $213.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $211.23 |
| 93000 | <1% | 54 | $202.07 | |
| 90670 | <1% | 1,212 | $182.23 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $126.77 |
| 99441 | <1% | 16 | $104.95 | |
| 81002 | <1% | 108 | $68.43 | |
| 90461 | 0% | 1,782 | $0.00 | |
| 90633 | 0% | 427 | $0.00 | |
| 92504 | 0% | 117 | $0.00 | |
| 90707 | 0% | 355 | $0.00 | |
| 90681 | 0% | 123 | $0.00 | |
| 99173 | 0% | 74 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 15 | $0.00 |
| 3078F | 0% | 48 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 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) | 0% | 20 | $0.00 |
| 3074F | 0% | 49 | $0.00 | |
| 90723 | 0% | 812 | $0.00 | |
| 90647 | 0% | 807 | $0.00 | |
| 90716 | 0% | 324 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90688 | 0% | 765 | $0.00 | |
| 87807 | 0% | 13 | $0.00 | |
| 3079F | 0% | 14 | $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 officialKORTE, FRED (VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Flint | Flint, MI | $43.44M |
| Mclaren Lapeer Region | Lapeer, MI | $16.98M |
| Mclaren Flint | Flint, MI | $7.35M |
| Mclaren Flint | Flint, MI | $472K |
| Mclaren Flint | Flint, MI | $308K |
| Mclaren Flint | Flint, MI | $218K |
| Mclaren Flint | Flint, MI | $181K |
| Mclaren Flint | Flint, MI | $77K |
| Mclaren Flint | Flint, MI | $38K |
| Mclaren Lapeer Region | Lapeer, MI | $18K |
| Mclaren Lapeer Region | Lapeer, MI | $14K |
| Mclaren Lapeer Region | Lapeer, MI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.