Physician
Muskegon Surgical Associates PC
Muskegon Surgical Associates PC was paid $1.69M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoMUSKEGON SURGICAL ASSOCIATES PC
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1225101660assigned 11/15/2006
33bProvider typePlastic Surgery Physician
28Total paid$1.69M
24GClaims44,351
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Plastic Surgery Physician providers in Michigan
Rank by total paid#2 of 13
Median peer was paid$48K
This provider vs. median35×
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 | 6,648 | $196K | |
| 2019 | 6,099 | $186K | |
| 2020 | 5,390 | $169K | |
| 2021 | 7,234 | $300K | |
| 2022 | 7,146 | $297K | |
| 2023 | 6,944 | $302K | |
| 2024incomplete | 4,890 | $238K |
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 | 15% | 6,621 | 5,989 | $253K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 4,249 | 4,218 | $244K |
| 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 | 8.4% | 2,349 | 2,297 | $142K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.0% | 3,566 | 3,534 | $136K |
| 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 | 7.7% | 1,436 | 1,428 | $130K |
| 93971 | 4.8% | 2,740 | 2,641 | $80K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.7% | 3,644 | 1,284 | $79K |
| 93970 | 4.5% | 1,619 | 1,564 | $75K | |
| 93922 | 4.2% | 2,369 | 2,311 | $71K | |
| 93978 | 3.7% | 783 | 778 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 2,589 | 2,255 | $62K |
| 93880 | 3.1% | 854 | 847 | $53K |
34 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.1% | 2,138 | $52K |
| 99232 | Hospital visit by a doctor, follow-up day | 2.9% | 1,297 | $49K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 396 | $29K |
| 99221 | 1.7% | 605 | $29K | |
| 47562 | 1.7% | 87 | $29K | |
| 76000 | 1.3% | 1,141 | $21K | |
| 93926 | 1.1% | 334 | $19K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 500 | $15K |
| 97166 | <1% | 142 | $8K | |
| 29848 | <1% | 24 | $7K | |
| 58661 | <1% | 13 | $7K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 246 | $6K |
| 99201 | <1% | 269 | $6K | |
| 99152 | <1% | 656 | $5K | |
| 93975 | <1% | 55 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 676 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 64 | $3K |
| 93925 | <1% | 39 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 61 | $1K |
| 20550 | <1% | 25 | $726.77 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 215 | $707.68 |
| 97035 | <1% | 100 | $697.42 | |
| 99406 | <1% | 38 | $311.28 | |
| 76937 | <1% | 33 | $303.70 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 54 | $239.50 |
| 77001 | <1% | 26 | $189.72 | |
| 99024 | 0% | 1,979 | $0.00 | |
| 1036F | 0% | 25 | $0.00 | |
| 3017F | 0% | 17 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 187 | $0.00 |
| 4040F | 0% | 18 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 33 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 24 | $0.00 |
| 3288F | 0% | 15 | $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 officialZONCA, STEPHEN (PLASTIC SURGERY)