Behavioral
Geriatric and Medical Specialists of Michigan P L C
Geriatric and Medical Specialists of Michigan P L C was paid $229K by Medicaid between Jan 2018 and Sep 2023, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoGERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C
FLINT, MI 48503
FLINT, MI 48503
33aNPI1255429007assigned 10/10/2006
33bProvider typeClinical Social Worker
28Total paid$229K
24GClaims29,888
24DCodes billed42
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#116 of 411
Median peer was paid$49K
This provider vs. median4.7×
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 | 3,334 | $29K | |
| 2019 | 6,138 | $28K | |
| 2020 | 7,474 | $42K | |
| 2021 | 5,014 | $42K | |
| 2022 | 4,578 | $46K | |
| 2023 | 3,350 | $43K |
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 | 51% | 2,382 | 2,297 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,983 | 1,893 | $76K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.8% | 395 | 112 | $13K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 203 | 203 | $8K |
| 99335 | 1.7% | 70 | 70 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,043 | 983 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 333 | 326 | $2K |
| 90756 | <1% | 137 | 135 | $2K | |
| 99406 | <1% | 237 | 223 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $913.16 |
| 99348 | <1% | 27 | 26 | $885.37 | |
| 99349 | <1% | 12 | 12 | $617.56 |
30 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $531.02 |
| 96127 | <1% | 137 | $290.63 | |
| 99441 | <1% | 45 | $223.74 | |
| 99000 | <1% | 19 | $208.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $153.65 |
| 80061 | Lipid panel | <1% | 14 | $14.50 |
| 4004F | 0% | 342 | $0.00 | |
| 3725F | 0% | 359 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 41 | $0.00 |
| 1159F | 0% | 878 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,542 | $0.00 |
| 99421 | 0% | 25 | $0.00 | |
| 1160F | 0% | 2,456 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 634 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,573 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 245 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,087 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 18 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 12 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 14 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 14 | $0.00 |
| 4274F | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 860 | $0.00 |
| 1036F | 0% | 2,909 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 184 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,814 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 609 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 25 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 102 | $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 officialSCHUMACHER, RANDOLPH (PRESIDENT)