Physician
Medcare INC
Medcare INC was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 20% of everything it billed.
33Billing provider infoMEDCARE INC
WARREN, MI 48092
WARREN, MI 48092
33aNPI1265713242assigned 09/02/2011
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$2.27M
24GClaims82,766
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Michigan
Rank by total paid#4 of 33
Median peer was paid$164K
This provider vs. median14×
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 | 8,713 | $247K | |
| 2019 | 10,825 | $307K | |
| 2020 | 11,596 | $307K | |
| 2021 | 14,468 | $396K | |
| 2022 | 12,819 | $350K | |
| 2023 | 12,710 | $351K | |
| 2024incomplete | 11,635 | $315K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 20% | 10,980 | 3,041 | $462K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 20% | 22,515 | 8,303 | $460K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,682 | 6,181 | $278K |
| 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 | 10% | 3,612 | 3,425 | $228K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 1,562 | 1,532 | $88K |
| L0648 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 3.7% | 127 | 125 | $85K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.2% | 5,964 | 2,357 | $73K |
| 27096 | 3.1% | 943 | 839 | $71K | |
| 98940 | 2.9% | 4,508 | 1,597 | $65K | |
| 97162 | 2.8% | 1,278 | 1,247 | $65K | |
| 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 | 2.7% | 741 | 735 | $61K |
| 72110 | 2.2% | 1,908 | 1,883 | $51K |
41 more codes
| 98942 | 2.0% | 1,766 | $46K | |
| 20611 | 1.8% | 846 | $40K | |
| 97164 | 1.7% | 1,277 | $39K | |
| 72050 | 1.2% | 1,015 | $28K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.1% | 2,735 | $25K |
| 64483 | <1% | 187 | $19K | |
| 64450 | <1% | 773 | $19K | |
| 76942 | <1% | 550 | $14K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 554 | $13K |
| 72070 | <1% | 609 | $10K | |
| 77003 | <1% | 363 | $10K | |
| 72100 | <1% | 386 | $8K | |
| 64418 | <1% | 84 | $4K | |
| 20552 | <1% | 181 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 397 | $3K |
| 72040 | <1% | 122 | $2K | |
| 64484 | <1% | 29 | $1K | |
| 73030 | <1% | 28 | $515.14 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 1,513 | $368.68 |
| 73502 | <1% | 15 | $335.58 | |
| 73560 | <1% | 15 | $285.22 | |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 17 | $186.43 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $123.49 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 798 | $108.13 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 3,463 | $100.09 |
| J2704 | Injection, propofol, 10 mg | <1% | 384 | $65.51 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 228 | $14.14 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 544 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 241 | $0.00 |
| A4550 | Surgical trays | 0% | 615 | $0.00 |
| 0518F | 0% | 43 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 196 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 432 | $0.00 |
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 280 | $0.00 |
| 1100F | 0% | 15 | $0.00 | |
| G9969 | Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | 0% | 291 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 120 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 315 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 115 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 378 | $0.00 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 14 | $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 officialPISPIDIKIS, JOHN (ADMINISTRATOR)