Physician
Paragon Health, PC
Paragon Health, PC was paid $50K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.
33Billing provider infoPARAGON HEALTH, PC
KALAMAZOO, MI 49048
KALAMAZOO, MI 49048
33aNPI1275582249assigned 05/08/2006
33bProvider typeOphthalmology Physician
28Total paid$50K
24GClaims1,729
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#55 of 106
Median peer was paid$51K
This provider vs. median1.0×
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 | 479 | $13K | |
| 2019 | 378 | $10K | |
| 2020 | 311 | $8K | |
| 2021 | 398 | $13K | |
| 2022 | 55 | $901.16 | |
| 2023 | 68 | $2K | |
| 2024incomplete | 40 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 54% | 530 | 530 | $27K |
| 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% | 185 | 175 | $10K |
| 92015 | Determination of refractive state | 18% | 957 | 957 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.7% | 17 | 17 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 28 | 27 | $1K |
| 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 | 2.6% | 12 | 12 | $1K |
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 officialRUMMEL, MARK (PRESIDENT)
Parent organizationPARAGON HEALTH PC
| Provider | Location | Paid |
|---|---|---|
| Paragon Health, PC | Kalamazoo, MI | $1.07M |
| Paragon Health, P.C. | Portage, MI | $530K |
| Paragon Health PC | Kalamazoo, MI | $189K |
| Paragon Health, PC | Kalamazoo, MI | $133K |
| Paragon Health PC | Kalamazoo, MI | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.