HENRY FORD WEST BLOOMFIELD PHYSICIANS
NPI: 1215333976
· WEST BLOOMFIELD, MI 48322
· General Practice Physician
· NPI assigned 11/07/2014
$241K
Total Medicaid Paid
Provider Details
| Authorized Official | GAMBLE, BRIAN (CFO) |
| NPI Enumeration Date | 11/07/2014 |
Related Entities
Other providers sharing the same authorized official: GAMBLE, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,056 |
$50K |
| 2019 |
912 |
$44K |
| 2020 |
774 |
$43K |
| 2021 |
1,841 |
$60K |
| 2022 |
1,558 |
$34K |
| 2023 |
454 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,096 |
1,948 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
993 |
930 |
$55K |
| 99215 |
Prolong outpt/office vis |
161 |
159 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
350 |
344 |
$930.50 |
| 93000 |
|
107 |
107 |
$890.29 |
| 90686 |
|
26 |
26 |
$458.59 |
| 90688 |
|
16 |
16 |
$296.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
28 |
$254.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$233.10 |
| 81003 |
|
13 |
12 |
$22.44 |
| 1160F |
|
452 |
419 |
$0.00 |
| 3078F |
|
565 |
547 |
$0.00 |
| 3077F |
|
73 |
69 |
$0.00 |
| 3074F |
|
853 |
818 |
$0.00 |
| 3351F |
|
339 |
331 |
$0.00 |
| 3079F |
|
429 |
419 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3080F |
|
42 |
40 |
$0.00 |