Physician
Adfinitas Health at Up Marquette, PLLC
Adfinitas Health at Up Marquette, PLLC was paid $891K by Medicaid between May 2018 and Mar 2022, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 32% of everything it billed.
33Billing provider infoADFINITAS HEALTH AT UP MARQUETTE, PLLC
MARQUETTE, MI 49855
MARQUETTE, MI 49855
33aNPI1205336260assigned 02/16/2018
33bProvider typeHospitalist Physician
28Total paid$891K
24GClaims12,106
24DCodes billed6
24AFirst – last monthMay 2018 – Mar 2022
Compared with peers
Next to other Hospitalist Physician providers in Michigan
Rank by total paid#6 of 33
Median peer was paid$22K
This provider vs. median41×
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 | 1,658 | $127K | |
| 2019 | 2,897 | $208K | |
| 2020 | 3,086 | $221K | |
| 2021 | 3,862 | $292K | |
| 2022 | 603 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 32% | 4,957 | 1,506 | $282K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 27% | 1,939 | 571 | $237K |
| 99223 | Prolong inpt eval add15 m | 22% | 1,744 | 1,660 | $194K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 1,571 | 1,503 | $92K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 1,713 | 710 | $68K |
| 99220 | 2.1% | 182 | 181 | $19K |
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 officialWRIGHT, MONICA (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
| Provider | Location | Paid |
|---|---|---|
| Cordova Pediatrics PLLC | Cordova, TN | $2.93M |
| Adfinitas Health at Fauquier, LLC | Warrenton, VA | $49K |
| Adfinitas Rehabilitative Services of Virginia, LLC | Warrenton, VA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.