Physician
Children's Health Care, PLLC
Children's Health Care, PLLC was paid $1.10M by Medicaid between Jan 2018 and Jan 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH CARE, PLLC
MT PLEASANT, MI 48858
MT PLEASANT, MI 48858
33aNPI1215058342assigned 04/03/2007
33bProvider typePediatrics Physician
28Total paid$1.10M
24GClaims33,490
24DCodes billed38
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#110 of 349
Median peer was paid$321K
This provider vs. median3.4×
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
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 | 6,727 | $201K | |
| 2019 | 6,149 | $205K | |
| 2020 | 5,561 | $163K | |
| 2021 | 6,398 | $226K | |
| 2022 | 3,439 | $129K | |
| 2023 | 4,763 | $159K | |
| 2024incomplete | 453 | $18K |
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 | 48% | 6,639 | 5,857 | $524K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,474 | 2,307 | $135K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 1,099 | 1,078 | $94K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,387 | 1,326 | $85K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 651 | 651 | $59K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 2,176 | 2,132 | $41K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 3.5% | 126 | 121 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 420 | 420 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 3,051 | 2,985 | $27K |
| 83655 | <1% | 530 | 527 | $10K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 2,164 | 2,157 | $8K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,174 | 2,167 | $8K |
26 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 538 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 472 | $6K |
| 81002 | <1% | 1,795 | $5K | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 992 | $4K |
| 99000 | <1% | 375 | $4K | |
| 36416 | <1% | 199 | $2K | |
| 96127 | <1% | 816 | $2K | |
| 99177 | <1% | 948 | $2K | |
| 99188 | <1% | 254 | $2K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 230 | $1K |
| 90473 | <1% | 310 | $876.00 | |
| 90698 | 0% | 481 | $0.00 | |
| 90686 | 0% | 641 | $0.00 | |
| 90680 | 0% | 311 | $0.00 | |
| 90744 | 0% | 156 | $0.00 | |
| 90716 | 0% | 171 | $0.00 | |
| 90651 | 0% | 30 | $0.00 | |
| 90688 | 0% | 16 | $0.00 | |
| 90670 | 0% | 891 | $0.00 | |
| 90633 | 0% | 177 | $0.00 | |
| 90707 | 0% | 180 | $0.00 | |
| 90685 | 0% | 307 | $0.00 | |
| 90713 | 0% | 38 | $0.00 | |
| 90700 | 0% | 171 | $0.00 | |
| 90734 | 0% | 74 | $0.00 | |
| 90648 | 0% | 26 | $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 officialBARODAWALLA, RUMANA (MEDICAL DIRECTOR)