Rostam Adult and Pediatric Medicine PLLC

Rostam Adult and Pediatric Medicine PLLC was paid $590K by Medicaid between May 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoROSTAM ADULT AND PEDIATRIC MEDICINE PLLC
BAD AXE, MI 48413

33aNPI1235638651assigned 02/12/2018

33bProvider typeFamily Medicine Physician

28Total paid$590K

24GClaims18,710

24DCodes billed42

24AFirst – last monthMay 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#192 of 826

Median peer was paid$98K

This provider vs. median6.0×

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	706	$25K
2019	2,338	$93K
2020	1,953	$66K
2021	2,670	$99K
2022	3,092	$109K
2023	4,155	$112K
2024incomplete	3,796	$86K

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	76%	5,631	4,580	$449K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	1,337	961	$83K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.0%	211	123	$12K
97124		1.5%	303	116	$9K
99406		<1%	829	747	$6K
99497		<1%	132	124	$4K
99401		<1%	193	175	$4K
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%	56	52	$3K
82044		<1%	711	681	$3K
81002		<1%	1,274	1,227	$3K
36415	Collection of venous blood by venipuncture	<1%	1,309	1,220	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	334	318	$3K

30 more codes

94010		<1%	95	$2K
93000		<1%	188	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	$1K
99443		<1%	13	$968.84
96160		<1%	331	$793.50
96127		<1%	272	$707.50
99442		<1%	14	$686.70
94060		<1%	32	$624.28
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	48	$340.08
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	16	$217.14
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	$179.07
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	14	$121.08
80305		<1%	12	$73.56
1220F		<1%	438	$5.96
1030F		<1%	725	$5.96
99173		<1%	171	$5.96
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	192	$0.24
3078F		<1%	676	$0.18
3074F		<1%	686	$0.16
3075F		<1%	47	$0.04
3079F		<1%	89	$0.01
3008F		0%	1,785	$0.00
3351F		0%	93	$0.00
1022F		0%	226	$0.00
1170F		0%	30	$0.00
1036F		0%	89	$0.00
3354F		0%	12	$0.00
4000F		0%	12	$0.00
1158F		0%	29	$0.00
1160F		0%	29	$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 officialROSTAM, BEHZOD (OWNER)