Pediatric Neurosurgery Group, P.C.

Pediatric Neurosurgery Group, P.C. was paid $289K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoPEDIATRIC NEUROSURGERY GROUP, P.C.
DETROIT, MI 48201

33aNPI1255476214assigned 02/20/2007

33bProvider typeNeurological Surgery Physician

28Total paid$289K

24GClaims6,426

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurological Surgery Physician providers in Michigan

Rank by total paid#4 of 20

Median peer was paid$14K

This provider vs. median20×

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	1,116	$48K
2019	1,088	$41K
2020	782	$33K
2021	1,284	$56K
2022	1,010	$52K
2023	623	$33K
2024incomplete	523	$26K

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	49%	3,214	3,171	$141K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	20%	962	962	$58K
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	9.9%	419	403	$29K
99221		7.3%	415	400	$21K
99231	Subsequent hospital care, per day, straightforward or low complexity	6.6%	932	288	$19K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.7%	354	354	$14K
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%	28	28	$3K
99218		<1%	30	28	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	47	47	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$1K
99442		<1%	13	13	$499.16

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 officialHAM, STEVEN (PRESIDENT)