Physician
Pediatrics PC
Pediatrics PC was paid $155K by Medicaid between Jan 2018 and Sep 2018, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPEDIATRICS PC
PORTAGE, MI 49024
PORTAGE, MI 49024
33aNPI1265421069assigned 10/14/2005
33bProvider typePediatrics Physician
28Total paid$155K
24GClaims4,835
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#209 of 349
Median peer was paid$321K
This provider vs. median0.5×
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 | 4,835 | $155K |
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 | 48% | 1,467 | 1,196 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 264 | 263 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 243 | 242 | $16K |
| 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 | 8.2% | 162 | 155 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 144 | 144 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 492 | 487 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 53 | 53 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 114 | 110 | $4K |
| 99381 | 1.6% | 28 | 27 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 108 | 106 | $1K |
| 83655 | <1% | 90 | 89 | $1K | |
| 97802 | <1% | 152 | 150 | $625.00 |
16 more codes
| 99188 | <1% | 67 | $469.55 | |
| 36416 | <1% | 142 | $410.00 | |
| 87081 | <1% | 74 | $344.18 | |
| 85018 | <1% | 77 | $183.10 | |
| 99051 | <1% | 12 | $65.00 | |
| 96161 | <1% | 17 | $28.34 | |
| 90461 | <1% | 320 | $14.00 | |
| 90670 | 0% | 200 | $0.00 | |
| 99173 | 0% | 127 | $0.00 | |
| 90681 | 0% | 63 | $0.00 | |
| 90633 | 0% | 65 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90687 | 0% | 13 | $0.00 | |
| 90723 | 0% | 148 | $0.00 | |
| 90647 | 0% | 143 | $0.00 | |
| 90688 | 0% | 37 | $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 officialLULL, STEPHEN (PRESIDENT)