Physician
Madison Heights Pediatrics PC
Madison Heights Pediatrics PC was paid $1.58M by Medicaid between Jan 2018 and Mar 2022, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoMADISON HEIGHTS PEDIATRICS PC
MADISON HEIGHTS, MI 48071
MADISON HEIGHTS, MI 48071
33aNPI1255575106assigned 04/22/2009
33bProvider typePediatrics Physician
28Total paid$1.58M
24GClaims81,708
24DCodes billed41
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#85 of 349
Median peer was paid$321K
This provider vs. median4.9×
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 | 29,320 | $426K | |
| 2019 | 23,442 | $384K | |
| 2020 | 10,795 | $284K | |
| 2021 | 14,402 | $390K | |
| 2022 | 3,749 | $97K |
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 | 80% | 24,340 | 18,792 | $1.27M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 2,485 | 2,268 | $75K |
| 97802 | 2.6% | 6,535 | 6,373 | $42K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 500 | 495 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 416 | 414 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 1,647 | 1,398 | $25K |
| 99051 | 1.3% | 4,139 | 3,843 | $21K | |
| 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 | 1.0% | 230 | 220 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 190 | 188 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 741 | 704 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,501 | 4,370 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 112 | 111 | $9K |
29 more codes
| 93000 | <1% | 411 | $4K | |
| 90688 | <1% | 225 | $2K | |
| 81003 | <1% | 1,273 | $2K | |
| 99442 | <1% | 133 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 241 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 104 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 547 | $962.35 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 622 | $748.63 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 904 | $410.68 |
| 94010 | <1% | 12 | $217.91 | |
| 90686 | <1% | 35 | $152.24 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,610 | $130.78 |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 15 | $50.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $20.43 |
| 3074F | <1% | 8,688 | $2.25 | |
| 3079F | <1% | 5,158 | $1.77 | |
| 3078F | <1% | 6,492 | $1.60 | |
| 3075F | <1% | 1,960 | $0.52 | |
| 3077F | <1% | 1,302 | $0.48 | |
| 3080F | <1% | 330 | $0.20 | |
| 90461 | 0% | 345 | $0.00 | |
| 90649 | 0% | 21 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90670 | 0% | 30 | $0.00 | |
| 90734 | 0% | 157 | $0.00 | |
| 90658 | 0% | 22 | $0.00 | |
| 90713 | 0% | 41 | $0.00 | |
| 90651 | 0% | 128 | $0.00 | |
| 90634 | 0% | 28 | $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 officialTOMA, NABEEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Madison Heights Urgent Care, PC | Madison Heights, MI | $3.72M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.