Physician
Roberto Benejam MD PC
Roberto Benejam MD PC was paid $2.93M by Medicaid between Jan 2018 and Aug 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoROBERTO BENEJAM MD PC
DEARBORN, MI 48126
DEARBORN, MI 48126
33aNPI1366500092assigned 12/05/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.93M
24GClaims73,060
24DCodes billed44
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#8 of 46
Median peer was paid$567K
This provider vs. median5.2×
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 | 17,111 | $485K | |
| 2019 | 12,440 | $496K | |
| 2020 | 8,717 | $355K | |
| 2021 | 9,168 | $419K | |
| 2022 | 9,936 | $457K | |
| 2023 | 7,256 | $391K | |
| 2024incomplete | 8,432 | $328K |
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 | 39% | 17,896 | 15,795 | $1.13M |
| 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 | 15% | 4,441 | 4,269 | $439K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 4,576 | 4,564 | $353K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 3,780 | 3,775 | $323K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 2,671 | 2,649 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 1,548 | 1,511 | $108K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 2,353 | 2,318 | $100K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.5% | 4,147 | 3,993 | $73K |
| 92551 | 1.3% | 5,186 | 5,151 | $38K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 674 | 671 | $34K |
| 81002 | 1.0% | 10,760 | 10,588 | $30K | |
| 99381 | <1% | 179 | 177 | $16K |
32 more codes
| 99442 | <1% | 824 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 862 | $12K |
| 92081 | <1% | 674 | $12K | |
| 85018 | <1% | 4,179 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 705 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,511 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 296 | $7K |
| 86580 | <1% | 1,058 | $5K | |
| 99383 | <1% | 26 | $2K | |
| 97802 | <1% | 396 | $115.44 | |
| 90657 | <1% | 172 | $42.14 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 562 | $0.07 |
| 90651 | 0% | 505 | $0.00 | |
| 90680 | 0% | 49 | $0.00 | |
| 90620 | 0% | 219 | $0.00 | |
| 90716 | 0% | 183 | $0.00 | |
| 90744 | 0% | 118 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90619 | 0% | 88 | $0.00 | |
| 90656 | 0% | 800 | $0.00 | |
| 90698 | 0% | 161 | $0.00 | |
| 90697 | 0% | 44 | $0.00 | |
| 90713 | 0% | 105 | $0.00 | |
| 90700 | 0% | 214 | $0.00 | |
| 90633 | 0% | 242 | $0.00 | |
| 90670 | 0% | 264 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 90734 | 0% | 177 | $0.00 | |
| 90707 | 0% | 177 | $0.00 | |
| 90715 | 0% | 140 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90648 | 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 officialBENEJAM, ROBERTO (OWNER)