Physician
Neighborhood Primary Care PLLC
Neighborhood Primary Care PLLC was paid $460K by Medicaid between Mar 2020 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoNEIGHBORHOOD PRIMARY CARE PLLC
LAKE ORION, MI 48360
LAKE ORION, MI 48360
33aNPI1366097263assigned 08/07/2019
33bProvider typeFamily Medicine Physician
28Total paid$460K
24GClaims21,402
24DCodes billed34
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#223 of 826
Median peer was paid$98K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2020 | 585 | $21K | |
| 2021 | 3,259 | $96K | |
| 2022 | 5,637 | $112K | |
| 2023 | 6,324 | $126K | |
| 2024incomplete | 5,597 | $105K |
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 | 59% | 3,967 | 3,452 | $272K |
| 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 | 18% | 875 | 863 | $84K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.9% | 347 | 347 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 264 | 263 | $21K |
| 93000 | 2.4% | 1,328 | 1,318 | $11K | |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 1,849 | 1,794 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 65 | 65 | $7K |
| 96127 | 1.0% | 1,728 | 1,700 | $5K | |
| 99000 | <1% | 547 | 502 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 128 | 124 | $3K |
| 90674 | <1% | 115 | 115 | $3K | |
| 81003 | <1% | 1,446 | 1,417 | $3K |
22 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $2K |
| 0012A | <1% | 42 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 112 | $1K |
| 0031A | <1% | 35 | $1K | |
| 0011A | <1% | 40 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 117 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 55 | $575.34 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $206.18 |
| 81002 | <1% | 32 | $94.14 | |
| 82043 | <1% | 13 | $44.23 | |
| 82570 | <1% | 13 | $39.68 | |
| 99173 | <1% | 1,012 | $6.00 | |
| 3078F | <1% | 3,226 | $6.00 | |
| 3074F | <1% | 3,334 | $6.00 | |
| 99072 | 0% | 110 | $0.00 | |
| 99499 | 0% | 56 | $0.00 | |
| 4274F | 0% | 77 | $0.00 | |
| 3015F | 0% | 27 | $0.00 | |
| 3075F | 0% | 40 | $0.00 | |
| 3079F | 0% | 220 | $0.00 | |
| 3008F | 0% | 33 | $0.00 | |
| 80050 | General health panel | 0% | 106 | $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 officialGORZ, JOSEPH (PRESIDENT)