GFC of Southeastern Michigan, PC

GFC of Southeastern Michigan, PC was paid $484K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoGFC OF SOUTHEASTERN MICHIGAN, PC
DETROIT, MI 48201

33aNPI1316191679assigned 11/12/2008

33bProvider typeProsthetic/Orthotic Supplier

28Total paid$484K

24GClaims26,561

24DCodes billed36

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Michigan

Rank by total paid#6 of 27

Median peer was paid$57K

This provider vs. median8.4×

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
2018	8,314	$103K
2019	5,389	$100K
2020	3,423	$62K
2021	4,002	$68K
2022	1,971	$31K
2023	1,646	$44K
2024incomplete	1,816	$78K

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	31%	3,595	2,868	$150K
76882		18%	2,639	1,580	$89K
29580		12%	1,689	896	$56K
11721		11%	2,363	2,300	$54K
64632		11%	1,371	646	$52K
64640		4.2%	162	105	$20K
73630		3.4%	916	569	$17K
20550		2.7%	696	312	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	142	140	$8K
29540		1.7%	667	358	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	201	167	$6K
11000		<1%	191	150	$5K

24 more codes

11056		<1%	135	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	581	$1K
11720		<1%	39	$611.51
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	849	$565.11
11055		<1%	13	$312.11
4040F		<1%	1,913	$0.07
G8484	Influenza immunization was not administered, reason not given	<1%	1,931	$0.06
4004F		<1%	490	$0.04
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	1,519	$0.04
1036F		<1%	913	$0.03
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	403	$0.03
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	<1%	90	$0.03
G8753	Most recent systolic blood pressure >= 140 mmhg	<1%	414	$0.03
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	274	$0.03
G8755	Most recent diastolic blood pressure >= 90 mmhg	<1%	418	$0.02
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	384	$0.02
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	92	$0.01
3074F		0%	47	$0.00
3080F		0%	159	$0.00
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)	0%	1,070	$0.00
3079F		0%	26	$0.00
3075F		0%	14	$0.00
3077F		0%	140	$0.00
3078F		0%	15	$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 officialMEHTA, MANISHA (PHYSICIAN)