SJMH Medical Practice-Smhc
SJMH Medical Practice-Smhc was paid $14.83M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoSJMH MEDICAL PRACTICE-SMHC
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1346284684assigned 06/16/2006
33bProvider typeNeonatal Intensive Care Registered Nurse
28Total paid$14.83M
24GClaims332,038
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
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 | 73,545 | $2.98M | |
| 2019 | 79,528 | $3.32M | |
| 2020 | 64,240 | $2.87M | |
| 2021 | 52,811 | $2.62M | |
| 2022 | 20,854 | $1.04M | |
| 2023 | 23,104 | $1.17M | |
| 2024incomplete | 17,956 | $820K |
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 | 15% | 48,950 | 44,069 | $2.27M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 11% | 2,115 | 2,099 | $1.61M |
| 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 | 11% | 24,618 | 22,945 | $1.56M |
| 59426 | 5.6% | 1,189 | 1,185 | $824K | |
| 59514 | 3.4% | 593 | 583 | $497K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 7,983 | 2,757 | $438K |
| 76818 | 2.6% | 12,821 | 5,399 | $387K | |
| 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 | 2.6% | 4,266 | 4,217 | $379K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 4,689 | 4,667 | $356K |
| 99223 | Prolong inpt eval add15 m | 2.1% | 3,199 | 2,828 | $311K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 4,778 | 4,578 | $309K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 8,002 | 3,643 | $300K |
161 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 3,824 | $299K |
| 99203 | Doctor's office visit, new patient (routine) | 1.9% | 4,872 | $283K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.8% | 5,093 | $266K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 10,702 | $256K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 1.6% | 690 | $243K |
| 99460 | 1.6% | 4,431 | $241K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 3,177 | $236K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 2,428 | $214K |
| 76820 | 1.4% | 14,671 | $210K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 4,723 | $203K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 2,776 | $195K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 2,170 | $188K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 1,920 | $152K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 1,417 | $144K |
| 99385 | <1% | 1,350 | $128K | |
| 59025 | Fetal non-stress test | <1% | 6,008 | $127K |
| 59430 | <1% | 599 | $105K | |
| 59425 | <1% | 269 | $101K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,178 | $101K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,083 | $98K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,251 | $94K |
| 99468 | <1% | 97 | $76K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,233 | $72K |
| 76801 | <1% | 2,313 | $71K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 626 | $69K |
| 99386 | <1% | 582 | $66K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,754 | $64K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 2,863 | $60K |
| 99283 | Emergency room visit (moderate) | <1% | 1,355 | $56K |
| 76813 | <1% | 1,659 | $56K | |
| 99221 | <1% | 1,080 | $55K | |
| 99381 | <1% | 648 | $55K | |
| 99464 | <1% | 1,217 | $52K | |
| 99219 | <1% | 664 | $48K | |
| 54150 | <1% | 819 | $46K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 694 | $46K |
| 90651 | <1% | 1,367 | $44K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 687 | $41K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 367 | $40K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 385 | $38K |
| 99205 | Prolong outpt/office vis | <1% | 310 | $35K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,809 | $35K |
| 90715 | <1% | 1,710 | $33K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,108 | $31K |
| 90686 | <1% | 4,344 | $29K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,088 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,069 | $24K |
| 93000 | <1% | 2,659 | $23K | |
| 99478 | <1% | 167 | $21K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,838 | $18K |
| 99284 | Emergency room visit (serious) | <1% | 266 | $18K |
| 90732 | <1% | 159 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,700 | $17K |
| 99217 | <1% | 402 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 451 | $16K |
| 99462 | <1% | 669 | $16K | |
| 99463 | <1% | 224 | $15K | |
| 99253 | <1% | 226 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,238 | $14K |
| 81025 | <1% | 2,198 | $14K | |
| 99383 | <1% | 150 | $14K | |
| 81003 | <1% | 6,013 | $11K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 102 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 614 | $9K |
| 93320 | <1% | 382 | $9K | |
| 99382 | <1% | 96 | $9K | |
| 90620 | <1% | 357 | $9K | |
| 81002 | <1% | 3,110 | $8K | |
| 99384 | <1% | 84 | $8K | |
| 93325 | <1% | 692 | $8K | |
| 99188 | <1% | 1,017 | $7K | |
| 99255 | <1% | 58 | $7K | |
| 0001A | <1% | 221 | $7K | |
| 76825 | <1% | 40 | $7K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 260 | $6K |
| 0002A | <1% | 189 | $6K | |
| 96127 | <1% | 1,896 | $6K | |
| 90670 | <1% | 3,478 | $5K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 388 | $5K |
| 99220 | <1% | 56 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 472 | $5K |
| 96161 | <1% | 1,897 | $4K | |
| 90473 | <1% | 1,271 | $4K | |
| 90474 | <1% | 714 | $4K | |
| 99465 | <1% | 38 | $3K | |
| 90707 | <1% | 1,326 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 81 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 40 | $3K |
| 22853 | <1% | 15 | $3K | |
| 99218 | <1% | 46 | $2K | |
| 90750 | <1% | 14 | $2K | |
| 99000 | <1% | 296 | $2K | |
| 90734 | <1% | 981 | $2K | |
| 87428 | <1% | 27 | $2K | |
| 0011A | <1% | 38 | $1K | |
| 0012A | <1% | 34 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 235 | $1K |
| 76827 | <1% | 26 | $1K | |
| 99254 | <1% | 12 | $1K | |
| 57454 | <1% | 13 | $1K | |
| 90621 | <1% | 26 | $987.39 | |
| 90688 | <1% | 60 | $889.28 | |
| 92552 | <1% | 47 | $865.82 | |
| 94010 | <1% | 42 | $775.36 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 62 | $752.28 |
| 99442 | <1% | 63 | $689.73 | |
| 83655 | <1% | 62 | $663.24 | |
| 58300 | <1% | 15 | $648.83 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $615.56 |
| 90716 | <1% | 1,213 | $367.58 | |
| 99406 | <1% | 59 | $363.42 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 14 | $360.31 |
| 99443 | <1% | 14 | $273.33 | |
| 85018 | <1% | 85 | $166.34 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 96 | $143.15 |
| 96160 | <1% | 45 | $140.54 | |
| 90662 | <1% | 19 | $128.08 | |
| 69209 | <1% | 15 | $119.45 | |
| 99441 | <1% | 15 | $95.98 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $62.44 |
| G0008 | Administration of influenza virus vaccine | <1% | 57 | $38.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $13.42 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 718 | $0.30 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 2,046 | $0.17 |
| 1159F | <1% | 30 | $0.12 | |
| 1160F | <1% | 127 | $0.11 | |
| 3351F | <1% | 523 | $0.03 | |
| 90685 | <1% | 888 | $0.02 | |
| 4004F | <1% | 694 | $0.01 | |
| 0503F | <1% | 84 | $0.01 | |
| 0500F | <1% | 131 | $0.01 | |
| 3288F | 0% | 496 | $0.00 | |
| 90461 | 0% | 225 | $0.00 | |
| 90648 | 0% | 414 | $0.00 | |
| 90633 | 0% | 1,981 | $0.00 | |
| 3078F | 0% | 948 | $0.00 | |
| 98966 | 0% | 173 | $0.00 | |
| 90700 | 0% | 699 | $0.00 | |
| 3725F | 0% | 1,879 | $0.00 | |
| 90710 | 0% | 343 | $0.00 | |
| 0502F | 0% | 1,772 | $0.00 | |
| 90681 | 0% | 306 | $0.00 | |
| 91300 | 0% | 54 | $0.00 | |
| 90655 | 0% | 12 | $0.00 | |
| 1033F | 0% | 13 | $0.00 | |
| 99173 | 0% | 39 | $0.00 | |
| 90680 | 0% | 1,713 | $0.00 | |
| 90698 | 0% | 2,608 | $0.00 | |
| 3074F | 0% | 1,101 | $0.00 | |
| 90744 | 0% | 1,754 | $0.00 | |
| 90696 | 0% | 803 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,748 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 1036F | 0% | 2,003 | $0.00 | |
| 3079F | 0% | 212 | $0.00 | |
| 1034F | 0% | 394 | $0.00 | |
| 90647 | 0% | 128 | $0.00 | |
| 3075F | 0% | 70 | $0.00 | |
| 3008F | 0% | 93 | $0.00 | |
| 99024 | 0% | 82 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 14 | $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 officialSTRIEBICH, SHANNON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| SJMH Medical Practice-Smhc | Waterford, MI | $309K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.