Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C

NPI: 1255429007 · FLINT, MI 48503 · Clinical Social Worker · NPI assigned 10/10/2006

$229K
Total Medicaid Paid
29,888
Total Claims
27,917
Beneficiaries
42
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSCHUMACHER, RANDOLPH (PRESIDENT)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,382 2,297 $118K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,983 1,893 $76K
99232 Subsequent hospital care, per day, moderate complexity 395 112 $13K
99308 Subsequent nursing facility care, per day, straightforward 203 203 $8K
99335 70 70 $4K
36415 Collection of venous blood by venipuncture 1,043 983 $2K
83036 Hemoglobin; glycosylated (A1C) 333 326 $2K
90756 137 135 $2K
99406 237 223 $1K
99222 Initial hospital care, per day, moderate complexity 13 13 $913.16
99348 27 26 $885.37
99349 12 12 $617.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 37 35 $531.02
96127 137 132 $290.63
99441 45 42 $223.74
99000 19 12 $208.01
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 34 $153.65
80061 Lipid panel 14 12 $14.50
4004F 342 314 $0.00
3725F 359 347 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 41 39 $0.00
1159F 878 802 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,542 4,252 $0.00
99421 25 25 $0.00
1160F 2,456 2,258 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 634 611 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,573 3,347 $0.00
G8421 Bmi not documented and no reason is given 245 240 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,087 1,034 $0.00
G8482 Influenza immunization administered or previously received 18 17 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
G8404 Lower extremity neurological exam performed and documented 12 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 14 14 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 14 13 $0.00
4274F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 860 806 $0.00
1036F 2,909 2,784 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 184 182 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,814 3,564 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 609 550 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 25 24 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 102 98 $0.00