Clinic
Lapeer Pediatrics, P.C.
Lapeer Pediatrics, P.C. was paid $7.29M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoLAPEER PEDIATRICS, P.C.
LAPEER, MI 48446
LAPEER, MI 48446
33aNPI1265623276assigned 08/05/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$7.29M
24GClaims271,472
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#4 of 113
Median peer was paid$164K
This provider vs. median44×
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 | 42,196 | $946K | |
| 2019 | 39,928 | $934K | |
| 2020 | 34,386 | $785K | |
| 2021 | 39,073 | $1.05M | |
| 2022 | 42,311 | $1.22M | |
| 2023 | 41,028 | $1.30M | |
| 2024incomplete | 32,550 | $1.06M |
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 | 34% | 40,218 | 34,936 | $2.48M |
| 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 | 20% | 17,076 | 15,724 | $1.48M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 7,080 | 6,954 | $594K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 7,763 | 7,008 | $538K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 6,029 | 5,964 | $513K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 14,407 | 13,845 | $315K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 3,446 | 3,397 | $283K |
| 99381 | 2.0% | 1,704 | 1,669 | $147K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 9,668 | 9,505 | $103K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 7,994 | 7,556 | $103K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,022 | 1,016 | $71K |
| 92587 | <1% | 5,097 | 4,972 | $60K |
76 more codes
| 99401 | <1% | 12,471 | $48K | |
| 92550 | <1% | 3,753 | $46K | |
| 17110 | <1% | 693 | $45K | |
| D0190 | <1% | 6,911 | $41K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,220 | $36K |
| 83655 | <1% | 2,484 | $34K | |
| 99188 | <1% | 4,650 | $32K | |
| 99383 | <1% | 351 | $32K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,489 | $31K |
| 96127 | <1% | 9,751 | $26K | |
| 99382 | <1% | 258 | $23K | |
| 97803 | <1% | 10,433 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 181 | $20K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 223 | $19K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 216 | $18K |
| 36416 | <1% | 2,305 | $18K | |
| 99051 | <1% | 3,142 | $13K | |
| 99000 | <1% | 1,201 | $12K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 3,137 | $7K |
| 69200 | <1% | 159 | $7K | |
| 81002 | <1% | 2,369 | $6K | |
| 85018 | <1% | 2,819 | $6K | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,106 | $5K |
| 87110 | <1% | 1,159 | $5K | |
| 97802 | <1% | 1,834 | $5K | |
| 81025 | <1% | 707 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 694 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 188 | $4K |
| 99406 | <1% | 490 | $3K | |
| 87807 | <1% | 361 | $3K | |
| 0071A | <1% | 69 | $3K | |
| 0001A | <1% | 64 | $2K | |
| 99384 | <1% | 26 | $2K | |
| 0072A | <1% | 62 | $2K | |
| 54450 | <1% | 48 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,165 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99177 | <1% | 1,171 | $2K | |
| 0002A | <1% | 32 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 112 | $1K |
| 92552 | <1% | 34 | $802.44 | |
| 69209 | <1% | 76 | $707.49 | |
| 74019 | <1% | 12 | $283.03 | |
| 99072 | <1% | 3,634 | $280.00 | |
| 90671 | <1% | 1,087 | $250.43 | |
| 93000 | <1% | 27 | $242.54 | |
| 90620 | <1% | 71 | $180.20 | |
| 90461 | <1% | 6,859 | $126.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $85.54 |
| 90686 | <1% | 3,215 | $59.67 | |
| 90687 | <1% | 205 | $9.40 | |
| 99173 | <1% | 11,634 | $4.20 | |
| 90651 | <1% | 1,254 | $0.07 | |
| 90621 | <1% | 45 | $0.04 | |
| 90716 | <1% | 1,233 | $0.01 | |
| 90619 | <1% | 375 | $0.01 | |
| 90707 | <1% | 1,226 | $0.01 | |
| 90715 | <1% | 606 | $0.01 | |
| 90680 | 0% | 2,961 | $0.00 | |
| 90697 | 0% | 1,301 | $0.00 | |
| 90696 | 0% | 988 | $0.00 | |
| 94760 | 0% | 13,860 | $0.00 | |
| 90744 | 0% | 1,396 | $0.00 | |
| 90698 | 0% | 2,084 | $0.00 | |
| 91307 | 0% | 77 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,493 | $0.00 |
| 90723 | 0% | 127 | $0.00 | |
| 90734 | 0% | 922 | $0.00 | |
| 90670 | 0% | 3,663 | $0.00 | |
| 90700 | 0% | 1,161 | $0.00 | |
| 90710 | 0% | 1,014 | $0.00 | |
| 90633 | 0% | 2,768 | $0.00 | |
| 90648 | 0% | 856 | $0.00 | |
| 91300 | 0% | 82 | $0.00 | |
| 90685 | 0% | 75 | $0.00 | |
| 90713 | 0% | 15 | $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 officialAL HARASTANI, MOHAMMAD (PRESIDENT)