Physician
Michigan Spine and Brain Surgeons, PLLC
Michigan Spine and Brain Surgeons, PLLC was paid $693K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMICHIGAN SPINE AND BRAIN SURGEONS, PLLC
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
33aNPI1336130863assigned 11/03/2005
33bProvider typeOrthopaedic Surgery of the Spine Physician
28Total paid$693K
24GClaims63,693
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery of the Spine Physician providers in Michigan
Rank by total paid#2 of 8
Median peer was paid$11K
This provider vs. median64×
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 | 5,769 | $52K | |
| 2019 | 4,853 | $39K | |
| 2020 | 9,866 | $93K | |
| 2021 | 11,743 | $123K | |
| 2022 | 11,214 | $136K | |
| 2023 | 11,462 | $142K | |
| 2024incomplete | 8,786 | $107K |
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% | 4,275 | 4,166 | $181K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 2,015 | 2,014 | $115K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.9% | 944 | 930 | $69K |
| 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 | 9.3% | 1,027 | 1,004 | $65K |
| 72110 | 8.7% | 2,382 | 2,360 | $60K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 1,520 | 632 | $55K |
| 72050 | 7.5% | 1,960 | 1,943 | $52K | |
| 99223 | Prolong inpt eval add15 m | 3.0% | 217 | 213 | $21K |
| 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 | 2.9% | 231 | 231 | $20K |
| 22853 | 2.7% | 97 | 95 | $19K | |
| 72082 | 2.3% | 447 | 443 | $16K | |
| 22551 | 1.7% | 12 | 12 | $12K |
26 more codes
| 72100 | <1% | 149 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 51 | $2K |
| 72040 | <1% | 68 | $1K | |
| 76000 | <1% | 218 | $1K | |
| 72070 | <1% | 51 | $901.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $391.61 |
| 69990 | <1% | 13 | $317.95 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 10,130 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 8,240 | $0.00 |
| 4004F | 0% | 2,819 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,226 | $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% | 1,183 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 953 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 176 | $0.00 |
| 1124F | 0% | 16 | $0.00 | |
| 20930 | 0% | 58 | $0.00 | |
| 20936 | 0% | 102 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 2,239 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 523 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 90 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 5,255 | $0.00 |
| 4044F | 0% | 498 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 519 | $0.00 |
| 1036F | 0% | 6,255 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 2,142 | $0.00 |
| G9197 | Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis | 0% | 580 | $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 officialSOO, TECK (PRESIDENT)