Physician
Paragon Health PC
Paragon Health PC was paid $78K by Medicaid between Jan 2018 and Jul 2020, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPARAGON HEALTH PC
KALAMAZOO, MI 49009
KALAMAZOO, MI 49009
33aNPI1356380182assigned 06/06/2006
33bProvider typePediatrics Physician
28Total paid$78K
24GClaims3,584
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#231 of 349
Median peer was paid$321K
This provider vs. median0.2×
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 | 1,766 | $42K | |
| 2019 | 1,403 | $29K | |
| 2020 | 415 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 451 | 417 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 441 | 412 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 515 | 502 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 83 | 79 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 55 | 55 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 46 | 46 | $3K |
| 81002 | 1.5% | 508 | 493 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 67 | 67 | $462.00 |
| 96127 | <1% | 80 | 78 | $258.69 | |
| 36416 | <1% | 71 | 67 | $207.36 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 17 | 12 | $85.80 |
| 99173 | <1% | 346 | 341 | $1.10 |
6 more codes
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 officialRUMMEL, MARK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Paragon Health, PC | Kalamazoo, MI | $1.07M |
| Paragon Health, P.C. | Portage, MI | $530K |
| Paragon Health PC | Kalamazoo, MI | $189K |
| Paragon Health, PC | Kalamazoo, MI | $133K |
| Paragon Health, PC | Kalamazoo, MI | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.