Avalon Consultants PLLC

Avalon Consultants PLLC was paid $39K by Medicaid between Jan 2019 and Nov 2024, across 8 billing codes. Its largest line is 99349, — 48% of everything it billed.

33Billing provider infoAVALON CONSULTANTS PLLC
NOVI, MI 48375

33aNPI1265859920assigned 03/19/2014

33bProvider typeFamily Medicine Physician

28Total paid$39K

24GClaims1,223

24DCodes billed8

24AFirst – last monthJan 2019 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#506 of 826

Median peer was paid$98K

This provider vs. median0.4×

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
2019	14	$316.35
2020	190	$3K
2022	83	$4K
2023	581	$18K
2024incomplete	355	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		48%	506	410	$19K
99350	Prolong home eval add 15m	30%	286	220	$12K
99336		13%	114	89	$5K
99484		4.0%	153	133	$2K
99497		2.5%	88	79	$991.88
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.6%	16	15	$608.32
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	44	42	$260.47
86328		<1%	16	12	$90.31

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 officialSARAFA, GARY (PRINCIPAL)