Clinic
Western Michigan University School of Medicine
Western Michigan University School of Medicine was paid $16.38M by Medicaid between Jan 2018 and Dec 2024, across 164 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoWESTERN MICHIGAN UNIVERSITY SCHOOL OF MEDICINE
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
33aNPI1316212343assigned 03/08/2012
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$16.38M
24GClaims433,993
24DCodes billed164
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Michigan
Rank by total paid#4 of 44
Median peer was paid$362K
This provider vs. median45×
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 | 55,436 | $1.86M | |
| 2019 | 63,263 | $2.15M | |
| 2020 | 59,165 | $2.07M | |
| 2021 | 64,106 | $2.50M | |
| 2022 | 63,153 | $2.61M | |
| 2023 | 60,462 | $2.75M | |
| 2024incomplete | 68,408 | $2.43M |
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 | 26% | 75,252 | 67,427 | $4.21M |
| 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 | 12% | 27,447 | 26,172 | $2.04M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 17,977 | 6,018 | $1.01M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 10,869 | 4,433 | $739K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.3% | 10,299 | 3,069 | $712K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 9,051 | 9,034 | $692K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 9,648 | 9,107 | $659K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 6,542 | 6,293 | $631K |
| 99223 | Prolong inpt eval add15 m | 3.4% | 5,278 | 4,902 | $556K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 5,744 | 5,738 | $441K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 15,774 | 15,654 | $349K |
| 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 | 2.1% | 3,787 | 3,758 | $348K |
152 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.0% | 5,437 | $331K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 3,350 | $281K |
| 99205 | Prolong outpt/office vis | 1.4% | 1,998 | $234K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 2,752 | $219K |
| 99381 | 1.1% | 2,180 | $184K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 2,360 | $181K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 3,613 | $179K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,355 | $163K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,256 | $142K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,630 | $137K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,728 | $119K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,528 | $113K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 980 | $90K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,310 | $78K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 90 | $66K |
| 99221 | <1% | 894 | $63K | |
| 90651 | <1% | 2,530 | $54K | |
| 90686 | <1% | 9,820 | $54K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17,891 | $53K |
| 90750 | <1% | 313 | $44K | |
| 90677 | <1% | 1,005 | $43K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,230 | $43K |
| 99385 | <1% | 434 | $42K | |
| 92551 | <1% | 6,512 | $42K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,442 | $39K |
| 99442 | <1% | 865 | $38K | |
| 99219 | <1% | 529 | $37K | |
| 96137 | <1% | 361 | $36K | |
| 80061 | Lipid panel | <1% | 3,409 | $35K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,036 | $34K |
| 90715 | <1% | 2,096 | $32K | |
| 94010 | <1% | 1,959 | $32K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 994 | $30K |
| 80053 | Comprehensive metabolic panel | <1% | 3,237 | $28K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 507 | $27K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,257 | $27K |
| 90670 | <1% | 6,121 | $24K | |
| 90620 | <1% | 1,205 | $23K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 575 | $22K |
| 96127 | <1% | 6,397 | $22K | |
| 96131 | <1% | 97 | $22K | |
| 91322 | <1% | 227 | $21K | |
| 99443 | <1% | 365 | $21K | |
| 99460 | <1% | 379 | $20K | |
| 83655 | <1% | 2,012 | $20K | |
| 96156 | <1% | 458 | $20K | |
| 96101 | <1% | 138 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,340 | $19K |
| 81025 | <1% | 2,898 | $19K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,024 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 245 | $15K |
| 99383 | <1% | 159 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,164 | $14K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 133 | $13K |
| 95251 | <1% | 647 | $13K | |
| 99441 | <1% | 733 | $12K | |
| 76830 | Ultrasound, transvaginal | <1% | 171 | $12K |
| 90480 | <1% | 354 | $12K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 219 | $12K |
| 72082 | <1% | 299 | $11K | |
| 96136 | <1% | 503 | $11K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 285 | $10K |
| 81002 | <1% | 3,987 | $9K | |
| 99217 | <1% | 228 | $8K | |
| 96161 | <1% | 4,398 | $8K | |
| 96150 | <1% | 1,079 | $8K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,011 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 138 | $7K |
| 96130 | <1% | 114 | $7K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 166 | $6K |
| 99220 | <1% | 66 | $6K | |
| 81003 | <1% | 3,364 | $6K | |
| 85018 | <1% | 2,967 | $6K | |
| 90656 | <1% | 772 | $6K | |
| 99406 | <1% | 753 | $5K | |
| 73523 | <1% | 148 | $5K | |
| 90707 | <1% | 1,787 | $5K | |
| 90836 | <1% | 134 | $5K | |
| 36416 | <1% | 1,877 | $5K | |
| S0316 | Disease management program, follow-up/reassessment | <1% | 1,110 | $5K |
| 90682 | <1% | 83 | $5K | |
| 90734 | <1% | 1,938 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 328 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 62 | $4K |
| 90732 | <1% | 37 | $4K | |
| 98926 | <1% | 137 | $4K | |
| 94664 | <1% | 462 | $4K | |
| 93000 | <1% | 421 | $3K | |
| 90474 | <1% | 712 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 47 | $3K |
| 90716 | <1% | 1,743 | $3K | |
| 77072 | <1% | 255 | $3K | |
| 95012 | <1% | 286 | $3K | |
| 0071A | <1% | 78 | $3K | |
| 99386 | <1% | 25 | $3K | |
| 81000 | <1% | 791 | $2K | |
| 99382 | <1% | 28 | $2K | |
| 99384 | <1% | 24 | $2K | |
| 99459 | <1% | 157 | $2K | |
| 82962 | <1% | 741 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | $2K |
| 17110 | <1% | 26 | $2K | |
| 0072A | <1% | 42 | $2K | |
| 73521 | <1% | 79 | $2K | |
| 85027 | <1% | 267 | $2K | |
| 99462 | <1% | 55 | $1K | |
| 76801 | <1% | 18 | $1K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $1K |
| 95782 | <1% | 13 | $932.23 | |
| 94060 | <1% | 49 | $899.94 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,532 | $875.40 |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | $824.88 |
| 96380 | <1% | 35 | $772.67 | |
| 73630 | <1% | 40 | $744.04 | |
| 96160 | <1% | 552 | $711.34 | |
| S0317 | Disease management program; per diem | <1% | 286 | $700.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 84 | $658.98 |
| 87210 | <1% | 110 | $487.37 | |
| 92552 | <1% | 23 | $410.09 | |
| 99417 | Prolong home eval add 15m | <1% | 12 | $409.56 |
| 77073 | <1% | 12 | $322.22 | |
| 95800 | <1% | 12 | $278.85 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 15 | $268.07 |
| 73090 | <1% | 15 | $229.03 | |
| 73030 | <1% | 12 | $189.20 | |
| 99188 | <1% | 26 | $160.49 | |
| 85651 | <1% | 42 | $129.30 | |
| 90662 | <1% | 12 | $83.49 | |
| 90461 | <1% | 8,480 | $15.99 | |
| 99173 | <1% | 4,873 | $6.93 | |
| 90681 | 0% | 3,313 | $0.00 | |
| 90710 | 0% | 1,502 | $0.00 | |
| 3078F | 0% | 5,811 | $0.00 | |
| 90700 | 0% | 1,631 | $0.00 | |
| 90685 | 0% | 1,517 | $0.00 | |
| 90633 | 0% | 3,410 | $0.00 | |
| 91321 | 0% | 101 | $0.00 | |
| 3077F | 0% | 786 | $0.00 | |
| 90687 | 0% | 83 | $0.00 | |
| 90723 | 0% | 3,265 | $0.00 | |
| 90647 | 0% | 3,774 | $0.00 | |
| 90696 | 0% | 1,437 | $0.00 | |
| 90697 | 0% | 2,082 | $0.00 | |
| 3074F | 0% | 6,604 | $0.00 | |
| 3075F | 0% | 870 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 102 | $0.00 |
| 90688 | 0% | 199 | $0.00 | |
| 3080F | 0% | 544 | $0.00 | |
| 3079F | 0% | 1,892 | $0.00 | |
| 99368 | 0% | 14 | $0.00 | |
| 90381 | 0% | 13 | $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 officialKENTER, KEITH (ASSOCIATE DEAN FOR CLINICAL AFFAIRS)