Physician
North Macomb Medical Associates PLLC
North Macomb Medical Associates PLLC was paid $948K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoNORTH MACOMB MEDICAL ASSOCIATES PLLC
LENOX, MI 48050
LENOX, MI 48050
33aNPI1225103047assigned 11/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$948K
24GClaims15,028
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#147 of 826
Median peer was paid$98K
This provider vs. median9.7×
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 | 1,693 | $110K | |
| 2019 | 1,821 | $118K | |
| 2020 | 1,420 | $95K | |
| 2021 | 1,772 | $139K | |
| 2022 | 2,606 | $170K | |
| 2023 | 3,630 | $169K | |
| 2024incomplete | 2,086 | $147K |
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 | 80% | 8,782 | 7,816 | $759K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,509 | 2,365 | $152K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 640 | 611 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 447 | 432 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 54 | 54 | $4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 293 | 283 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 213 | 208 | $3K |
| 96127 | <1% | 449 | 431 | $1K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 71 | 70 | $638.64 |
| 99441 | <1% | 15 | 15 | $468.49 | |
| 90756 | <1% | 20 | 20 | $425.00 | |
| 99051 | <1% | 93 | 91 | $410.00 |
14 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $405.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 47 | $402.88 |
| 90674 | <1% | 13 | $379.99 | |
| 99000 | <1% | 269 | $320.00 | |
| 90688 | <1% | 12 | $196.24 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 60 | $147.41 |
| 81002 | <1% | 55 | $121.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $27.28 |
| 3078F | 0% | 199 | $0.00 | |
| 3074F | 0% | 273 | $0.00 | |
| 3079F | 0% | 135 | $0.00 | |
| 3075F | 0% | 67 | $0.00 | |
| 3008F | 0% | 212 | $0.00 | |
| 1036F | 0% | 72 | $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 officialFROCILLO, CHRISTOPHER (OWNER)