Physician
Gogue Pediatrics, P.C.
Gogue Pediatrics, P.C. was paid $6.12M by Medicaid between Jul 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoGOGUE PEDIATRICS, P.C.
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1265921191assigned 05/07/2018
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$6.12M
24GClaims189,419
24DCodes billed67
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#3 of 46
Median peer was paid$567K
This provider vs. median11×
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 | 21,739 | $444K | |
| 2019 | 50,316 | $1.07M | |
| 2020 | 27,105 | $718K | |
| 2021 | 28,659 | $883K | |
| 2022 | 23,329 | $989K | |
| 2023 | 19,759 | $1.07M | |
| 2024incomplete | 18,512 | $944K |
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 | 50% | 45,488 | 40,369 | $3.07M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 7,846 | 7,833 | $631K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.4% | 7,203 | 7,197 | $577K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.6% | 5,238 | 5,235 | $465K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 4,620 | 4,553 | $334K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 11,211 | 11,057 | $294K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.8% | 3,312 | 3,259 | $112K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 4,256 | 3,589 | $100K |
| 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 | 1.2% | 844 | 834 | $75K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 5,578 | 4,707 | $69K |
| 99381 | 1.0% | 699 | 699 | $61K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,246 | 1,221 | $60K |
55 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,180 | $58K |
| 92552 | <1% | 3,201 | $57K | |
| 92015 | Determination of refractive state | <1% | 2,884 | $32K |
| 96127 | <1% | 9,163 | $32K | |
| 92551 | <1% | 3,253 | $22K | |
| 83655 | <1% | 908 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 549 | $10K |
| 85018 | <1% | 4,080 | $9K | |
| 87430 | <1% | 600 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,048 | $7K |
| 97803 | <1% | 3,498 | $7K | |
| 36416 | <1% | 4,549 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 65 | $6K |
| 17110 | <1% | 39 | $2K | |
| 99177 | <1% | 4,990 | $2K | |
| 96161 | <1% | 872 | $2K | |
| 85014 | <1% | 635 | $2K | |
| 99383 | <1% | 12 | $1K | |
| 17250 | <1% | 39 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 448 | $1K |
| 92587 | <1% | 107 | $607.94 | |
| 69210 | <1% | 13 | $399.83 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $379.70 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $368.02 |
| 90677 | <1% | 500 | $298.04 | |
| 86580 | <1% | 38 | $174.55 | |
| 87807 | <1% | 67 | $147.15 | |
| 83014 | <1% | 27 | $43.38 | |
| 82962 | <1% | 12 | $34.11 | |
| 2000F | <1% | 8,287 | $33.65 | |
| 90647 | <1% | 2,610 | $30.70 | |
| 90685 | <1% | 115 | $21.81 | |
| 80061 | Lipid panel | <1% | 12 | $12.32 |
| 3008F | 0% | 9,517 | $0.00 | |
| 90716 | 0% | 1,799 | $0.00 | |
| 90680 | 0% | 2,415 | $0.00 | |
| 90723 | 0% | 1,621 | $0.00 | |
| 90688 | 0% | 236 | $0.00 | |
| 90744 | 0% | 139 | $0.00 | |
| 90651 | 0% | 1,311 | $0.00 | |
| 90686 | 0% | 1,730 | $0.00 | |
| 90619 | 0% | 583 | $0.00 | |
| 90656 | 0% | 102 | $0.00 | |
| 99174 | 0% | 251 | $0.00 | |
| 90698 | 0% | 29 | $0.00 | |
| 99173 | 0% | 248 | $0.00 | |
| 90670 | 0% | 2,929 | $0.00 | |
| 90713 | 0% | 1,947 | $0.00 | |
| 90633 | 0% | 2,005 | $0.00 | |
| 90734 | 0% | 1,126 | $0.00 | |
| 90707 | 0% | 1,825 | $0.00 | |
| 90700 | 0% | 3,022 | $0.00 | |
| 90715 | 0% | 839 | $0.00 | |
| 90461 | 0% | 1,287 | $0.00 | |
| 94664 | 0% | 44 | $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 officialGOGUE, PAUL (OWNER)