Downriver Clinic PC

Downriver Clinic PC was paid $936K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoDOWNRIVER CLINIC PC
GROSSE ILE, MI 48138

33aNPI1205073285assigned 01/14/2009

33bProvider typeInternal Medicine Physician

28Total paid$936K

24GClaims28,814

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#124 of 816

Median peer was paid$70K

This provider vs. median13×

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	985	$49K
2019	1,146	$54K
2020	1,267	$44K
2021	5,689	$194K
2022	8,171	$241K
2023	5,904	$178K
2024incomplete	5,652	$176K

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	40%	6,871	6,110	$371K
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	16%	2,130	1,909	$145K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	1,642	1,640	$105K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	11%	2,730	2,596	$103K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	9.5%	2,254	2,109	$89K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.4%	3,359	2,904	$41K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2.3%	1,662	1,550	$22K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.8%	1,299	649	$17K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	1,164	1,142	$15K
99000		<1%	1,028	957	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	165	165	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	100	97	$3K

12 more codes

86328		<1%	63	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	1,860	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	50	$2K
99401		<1%	67	$2K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	1,025	$1K
36415	Collection of venous blood by venipuncture	<1%	196	$804.45
81002		<1%	287	$728.66
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	406	$607.89
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	35	$457.45
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	368	$401.55
81025		<1%	27	$177.91
99051		<1%	26	$21.26

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 officialKHALED, MOUNIR (OWNER MEDICAL DIRECTOR PHYSICIAN)