Physician
Mclaren Medical Group
Mclaren Medical Group was paid $14.83M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.
33Billing provider infoMCLAREN MEDICAL GROUP
LAPEER, MI 48446
LAPEER, MI 48446
33aNPI1346396066assigned 01/26/2007
33bProvider typeEmergency Medicine Physician
28Total paid$14.83M
24GClaims265,678
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Michigan
Rank by total paid#5 of 248
Median peer was paid$57K
This provider vs. median262×
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 | 15,031 | $498K | |
| 2019 | 15,093 | $541K | |
| 2020 | 13,183 | $485K | |
| 2021 | 16,844 | $838K | |
| 2022 | 26,832 | $1.40M | |
| 2023 | 69,532 | $4.13M | |
| 2024incomplete | 109,163 | $6.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 27% | 58,245 | 53,119 | $4.04M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 17% | 32,583 | 29,257 | $2.55M |
| 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 | 17% | 36,964 | 34,923 | $2.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 34,452 | 32,112 | $1.59M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.1% | 12,239 | 11,556 | $754K |
| 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 | 3.5% | 5,602 | 5,565 | $526K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.2% | 3,900 | 3,542 | $474K |
| 59426 | 2.2% | 346 | 346 | $325K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 3,597 | 3,571 | $321K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 4,873 | 4,832 | $300K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 3,549 | 3,532 | $288K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 948 | 923 | $89K |
123 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,788 | $69K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13,247 | $60K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 663 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 467 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,673 | $44K |
| 99385 | <1% | 379 | $39K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,522 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 387 | $36K |
| 10061 | <1% | 295 | $32K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 366 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 310 | $28K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 107 | $28K |
| 99205 | Prolong outpt/office vis | <1% | 235 | $28K |
| 20610 | <1% | 907 | $25K | |
| 59430 | <1% | 103 | $24K | |
| 12001 | <1% | 878 | $24K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,545 | $24K |
| 99223 | Prolong inpt eval add15 m | <1% | 247 | $23K |
| 90686 | <1% | 1,639 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,163 | $20K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 197 | $19K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 25 | $19K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 601 | $19K |
| 76830 | Ultrasound, transvaginal | <1% | 534 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 337 | $18K |
| 12002 | <1% | 455 | $16K | |
| 31500 | <1% | 191 | $16K | |
| 12011 | <1% | 465 | $16K | |
| 90715 | <1% | 523 | $15K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 317 | $14K |
| 93000 | <1% | 1,988 | $14K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 220 | $13K |
| 59025 | Fetal non-stress test | <1% | 660 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 319 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 368 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 635 | $11K |
| 81025 | <1% | 1,346 | $9K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 253 | $9K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 254 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 294 | $8K |
| 81003 | <1% | 4,992 | $8K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 108 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 777 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 100 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 429 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 420 | $5K |
| 73562 | <1% | 402 | $5K | |
| 96160 | <1% | 163 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 178 | $4K |
| 10060 | <1% | 65 | $4K | |
| 93970 | <1% | 132 | $3K | |
| 29125 | <1% | 135 | $3K | |
| 94060 | <1% | 224 | $3K | |
| 51798 | <1% | 502 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 378 | $2K |
| 64400 | <1% | 75 | $2K | |
| 90651 | <1% | 76 | $2K | |
| 99292 | <1% | 29 | $2K | |
| 90656 | <1% | 86 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 185 | $2K |
| 92557 | <1% | 73 | $2K | |
| 99221 | <1% | 27 | $2K | |
| 99386 | <1% | 12 | $1K | |
| 90688 | <1% | 93 | $1K | |
| 69210 | <1% | 52 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 171 | $1K |
| 90671 | <1% | 14 | $1K | |
| 99406 | <1% | 176 | $1K | |
| 99442 | <1% | 93 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 294 | $863.11 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 17 | $833.00 |
| 29515 | <1% | 27 | $818.15 | |
| 99459 | <1% | 49 | $711.33 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 72 | $635.68 |
| 96127 | <1% | 238 | $624.46 | |
| 64615 | <1% | 12 | $596.94 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 633 | $562.68 |
| 36556 | <1% | 12 | $528.20 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44 | $489.47 |
| 73030 | <1% | 48 | $463.87 | |
| 81001 | <1% | 219 | $453.51 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 101 | $443.11 |
| 81002 | <1% | 280 | $427.34 | |
| 92567 | <1% | 44 | $405.02 | |
| 73610 | <1% | 69 | $399.73 | |
| 94729 | <1% | 89 | $392.36 | |
| 93356 | <1% | 44 | $355.24 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 291 | $353.14 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 12 | $272.32 |
| 99441 | <1% | 46 | $266.59 | |
| 90662 | <1% | 29 | $215.42 | |
| 99443 | <1% | 14 | $197.83 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 14 | $191.14 |
| 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% | 39 | $178.99 |
| 93971 | <1% | 14 | $176.83 | |
| 93016 | <1% | 13 | $146.01 | |
| 82962 | <1% | 95 | $103.73 | |
| 93018 | <1% | 13 | $95.76 | |
| 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% | 228 | $84.85 |
| 81000 | <1% | 34 | $82.63 | |
| 97802 | <1% | 15 | $30.00 | |
| J3490 | Unclassified drugs | <1% | 43 | $13.17 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $8.65 |
| 3074F | 0% | 758 | $0.00 | |
| 90647 | 0% | 371 | $0.00 | |
| 3075F | 0% | 58 | $0.00 | |
| 3044F | 0% | 207 | $0.00 | |
| 90723 | 0% | 311 | $0.00 | |
| 3079F | 0% | 210 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 99058 | 0% | 56 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 15 | $0.00 |
| 99024 | 0% | 16 | $0.00 | |
| 3078F | 0% | 559 | $0.00 | |
| 99053 | 0% | 559 | $0.00 | |
| 90633 | 0% | 161 | $0.00 | |
| 90461 | 0% | 458 | $0.00 | |
| 0502F | 0% | 1,172 | $0.00 | |
| 90681 | 0% | 69 | $0.00 | |
| 92504 | 0% | 13 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 44 | $0.00 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 17 | $0.00 |
| 3077F | 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 officialLEPZINSKI, JULIE (CEO)