PPPS III

PPPS III was paid $732K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 52% of everything it billed.

33Billing provider infoPPPS III
SAGINAW, MI 48602

33aNPI1245395797assigned 12/26/2006

33bProvider typeFamily Medicine Physician

28Total paid$732K

24GClaims8,295

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#170 of 826

Median peer was paid$98K

This provider vs. median7.5×

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	3,817	$292K
2019	1,315	$97K
2020	388	$37K
2021	1,257	$138K
2022	556	$65K
2023	580	$67K
2024incomplete	382	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	52%	3,826	1,530	$382K
H0004	Behavioral health counseling and therapy, per 15 minutes	34%	2,731	1,177	$250K
H0001	Alcohol and/or drug assessment	4.7%	262	262	$35K
H0006	Alcohol and/or drug services; case management	4.4%	803	575	$32K
H0005	Alcohol and/or drug services; group counseling by a clinician	3.4%	545	310	$25K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	58	55	$4K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	<1%	13	13	$2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	31	31	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$466.10
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	<1%	14	12	$270.00

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 officialLOGAN, STEVEN (CEO/OWNER)