Physician
Family First Health Care Capac PLLC
Family First Health Care Capac PLLC was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoFAMILY FIRST HEALTH CARE CAPAC PLLC
CAPAC, MI 48014
CAPAC, MI 48014
33aNPI1376601179assigned 12/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$249K
24GClaims35,872
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#294 of 826
Median peer was paid$98K
This provider vs. median2.5×
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 | 1,618 | $18K | |
| 2019 | 3,573 | $20K | |
| 2020 | 4,375 | $24K | |
| 2021 | 8,045 | $63K | |
| 2022 | 7,609 | $51K | |
| 2023 | 5,526 | $39K | |
| 2024incomplete | 5,126 | $34K |
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 | 78% | 3,738 | 3,272 | $193K |
| 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 | 20% | 707 | 675 | $50K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 698 | 649 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | 29 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $898.81 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | 52 | $434.05 |
| 90674 | <1% | 12 | 12 | $294.43 | |
| 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% | 85 | 84 | $104.13 |
| 1160F | <1% | 65 | 65 | $0.24 | |
| 1159F | <1% | 66 | 66 | $0.24 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,243 | 1,930 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 173 | 160 | $0.00 |
33 more codes
| 3078F | 0% | 1,971 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,427 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,181 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,459 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 12 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 183 | $0.00 |
| 4004F | 0% | 389 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 139 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 38 | $0.00 |
| 3028F | 0% | 53 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 94 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 12 | $0.00 |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 16 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,187 | $0.00 |
| 3008F | 0% | 3,722 | $0.00 | |
| 1034F | 0% | 109 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,249 | $0.00 |
| 3017F | 0% | 1,032 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 388 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,129 | $0.00 |
| 3079F | 0% | 1,111 | $0.00 | |
| 3074F | 0% | 2,715 | $0.00 | |
| 1036F | 0% | 2,421 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 1,179 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 250 | $0.00 |
| 3075F | 0% | 161 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 24 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 64 | $0.00 |
| 2000F | 0% | 66 | $0.00 | |
| 2010F | 0% | 118 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 12 | $0.00 |
| 2001F | 0% | 66 | $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 officialDECARLO, LOREN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Family First-Armada PLLC | Armada, MI | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.