Physician
Pulmonary Specialists of Michigan, PC
Pulmonary Specialists of Michigan, PC was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 34% of everything it billed.
33Billing provider infoPULMONARY SPECIALISTS OF MICHIGAN, PC
DEARBORN, MI 48124
DEARBORN, MI 48124
33aNPI1265712012assigned 08/25/2011
33bProvider typePulmonary Disease Physician
28Total paid$1.11M
24GClaims22,773
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#13 of 63
Median peer was paid$118K
This provider vs. median9.4×
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 | 3,866 | $123K | |
| 2019 | 3,402 | $135K | |
| 2020 | 2,670 | $151K | |
| 2021 | 3,062 | $161K | |
| 2022 | 3,313 | $170K | |
| 2023 | 3,830 | $208K | |
| 2024incomplete | 2,630 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 34% | 6,179 | 2,627 | $372K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 7,634 | 2,939 | $312K |
| 99223 | Prolong inpt eval add15 m | 24% | 2,445 | 2,383 | $262K |
| 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 | 5.7% | 939 | 929 | $63K |
| 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 | 2.2% | 240 | 240 | $25K |
| 94729 | 2.0% | 963 | 960 | $22K | |
| 94727 | 1.4% | 714 | 714 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 225 | 212 | $11K |
| 94010 | <1% | 610 | 608 | $8K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 95 | 94 | $8K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 46 | 43 | $5K |
| 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% | 24 | 24 | $2K |
7 more codes
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 officialBENING, JANE (BILLER)