Macomb Surgical Associates,p.C.

Macomb Surgical Associates,p.C. was paid $37K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 93970, — 58% of everything it billed.

33Billing provider infoMACOMB SURGICAL ASSOCIATES,P.C.
CLINTON TWP, MI 48036

33aNPI1295816932assigned 10/18/2006

33bProvider typeSurgery Physician

28Total paid$37K

24GClaims1,962

24DCodes billed6

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#45 of 111

Median peer was paid$17K

This provider vs. median2.2×

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	107	$2K
2019	52	$842.49
2020	208	$3K
2021	328	$5K
2022	358	$6K
2023	439	$8K
2024incomplete	470	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93970		58%	1,085	1,043	$21K
93971		26%	750	732	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.0%	74	73	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.3%	25	12	$1K
99222	Initial hospital care, per day, moderate complexity	2.9%	16	15	$1K
93923		<1%	12	12	$155.86

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 officialGILIBERTO, JAMES (PRESIDENT)