Bay Pediatric Clinic
Bay Pediatric Clinic was paid $2.52M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoBAY PEDIATRIC CLINIC
BAY CITY, MI 48708
BAY CITY, MI 48708
33aNPI1326101205assigned 12/19/2006
33bProvider typeSpecialist
28Total paid$2.52M
24GClaims60,118
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#15 of 181
Median peer was paid$94K
This provider vs. median27×
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 | 8,915 | $345K | |
| 2019 | 9,075 | $351K | |
| 2020 | 7,137 | $244K | |
| 2021 | 9,812 | $347K | |
| 2022 | 11,240 | $444K | |
| 2023 | 7,936 | $421K | |
| 2024incomplete | 6,003 | $364K |
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 | 32% | 11,811 | 10,885 | $793K |
| 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 | 25% | 5,859 | 5,428 | $617K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,997 | 2,980 | $273K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 2,212 | 2,209 | $207K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 2,689 | 2,650 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 1,344 | 1,337 | $121K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 3,563 | 3,550 | $82K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 6,798 | 6,677 | $75K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 2,318 | 2,277 | $41K |
| 92551 | <1% | 2,547 | 2,534 | $19K | |
| D0190 | <1% | 943 | 941 | $16K | |
| 96127 | <1% | 3,129 | 3,048 | $12K |
27 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 858 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 235 | $8K |
| 83655 | <1% | 382 | $7K | |
| 99188 | <1% | 943 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 329 | $6K |
| 96160 | <1% | 2,601 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 120 | $4K |
| 36416 | <1% | 279 | $3K | |
| 97802 | <1% | 700 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 185 | $2K |
| 99000 | <1% | 399 | $2K | |
| 0071A | <1% | 34 | $1K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,884 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $924.70 |
| 96161 | <1% | 377 | $610.44 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $454.38 |
| 69210 | <1% | 13 | $429.66 | |
| 87631 | <1% | 89 | $375.69 | |
| 85018 | <1% | 303 | $354.78 | |
| 92567 | <1% | 14 | $120.11 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 63 | $0.32 |
| 99173 | 0% | 1,541 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 254 | $0.00 |
| 98960 | 0% | 2,103 | $0.00 | |
| 90686 | 0% | 76 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 91307 | 0% | 26 | $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 officialMONVILLE, LOIS (OFFICE MANAGER)