Diabetic Foot and Wound Care Center PLLC
Diabetic Foot and Wound Care Center PLLC was paid $552K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoDIABETIC FOOT AND WOUND CARE CENTER PLLC
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1235455031assigned 04/19/2010
33bProvider typePodiatrist
28Total paid$552K
24GClaims13,375
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in Michigan
Rank by total paid#4 of 147
Median peer was paid$19K
This provider vs. median30×
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 | 2,466 | $101K | |
| 2019 | 2,198 | $73K | |
| 2020 | 1,882 | $66K | |
| 2021 | 1,583 | $71K | |
| 2022 | 1,573 | $68K | |
| 2023 | 2,086 | $96K | |
| 2024incomplete | 1,587 | $78K |
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 | 69% | 10,230 | 9,544 | $381K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 11% | 1,143 | 356 | $62K |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 5.6% | 359 | 223 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 525 | 523 | $28K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 3.4% | 358 | 223 | $19K |
| 97597 | 2.7% | 262 | 104 | $15K | |
| 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 | 2.0% | 212 | 200 | $11K |
| 73630 | <1% | 266 | 222 | $4K | |
| 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 | <1% | 20 | 19 | $2K |
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 officialHOLIBAUGH, SUSAN (PRESIDENT)