Physician
Mclaren Macomb
Mclaren Macomb was paid $19.11M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoMCLAREN MACOMB
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
33aNPI1396014601assigned 12/16/2011
33bProvider typeFamily Medicine Physician
28Total paid$19.11M
24GClaims406,342
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#5 of 826
Median peer was paid$98K
This provider vs. median196×
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 | 66,073 | $2.83M | |
| 2019 | 67,257 | $2.82M | |
| 2020 | 58,041 | $2.52M | |
| 2021 | 57,352 | $2.90M | |
| 2022 | 57,221 | $2.81M | |
| 2023 | 58,672 | $2.93M | |
| 2024incomplete | 41,726 | $2.30M |
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 | 24% | 69,683 | 64,641 | $4.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 73,584 | 66,343 | $3.39M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.7% | 1,182 | 1,175 | $894K |
| 59426 | 4.3% | 1,230 | 1,178 | $829K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 9,128 | 9,087 | $691K |
| 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 | 3.2% | 7,229 | 7,110 | $617K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 7,741 | 7,661 | $566K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 14,184 | 4,997 | $564K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 5,396 | 4,535 | $553K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 6,090 | 6,023 | $506K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 6,366 | 6,340 | $482K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 8,495 | 8,384 | $482K |
161 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.9% | 6,649 | $367K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.9% | 3,993 | $359K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 4,125 | $316K |
| 99205 | Prolong outpt/office vis | 1.6% | 2,841 | $306K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 5,958 | $251K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 3,232 | $238K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 48,390 | $226K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 1,655 | $201K |
| 99385 | <1% | 2,206 | $191K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,159 | $182K |
| 59430 | <1% | 1,056 | $169K | |
| 99460 | <1% | 2,580 | $140K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,198 | $133K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,406 | $126K |
| 59025 | Fetal non-stress test | <1% | 4,824 | $89K |
| 99381 | <1% | 1,372 | $87K | |
| 59514 | <1% | 91 | $78K | |
| 20610 | <1% | 2,118 | $62K | |
| 99464 | <1% | 1,444 | $60K | |
| 99386 | <1% | 571 | $59K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,518 | $53K |
| 64483 | <1% | 689 | $52K | |
| 99383 | <1% | 633 | $52K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,683 | $50K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 563 | $49K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,412 | $49K |
| 76830 | Ultrasound, transvaginal | <1% | 1,394 | $46K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,219 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,751 | $38K |
| 54150 | <1% | 636 | $36K | |
| 93970 | <1% | 1,181 | $35K | |
| 69210 | <1% | 1,441 | $35K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,408 | $31K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 758 | $30K |
| 99221 | <1% | 575 | $29K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,757 | $28K |
| 95886 | <1% | 731 | $27K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,961 | $27K |
| 99284 | Emergency room visit (serious) | <1% | 390 | $26K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 731 | $24K |
| 90686 | <1% | 2,799 | $23K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 866 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,218 | $22K |
| 99382 | <1% | 250 | $21K | |
| 99462 | <1% | 879 | $20K | |
| 99219 | <1% | 287 | $20K | |
| 93000 | <1% | 2,337 | $19K | |
| 90715 | <1% | 1,089 | $19K | |
| 99384 | <1% | 206 | $19K | |
| 20553 | <1% | 744 | $19K | |
| 98928 | <1% | 505 | $18K | |
| 99220 | <1% | 169 | $16K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 204 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 295 | $16K |
| 93971 | <1% | 638 | $13K | |
| 98927 | <1% | 425 | $13K | |
| 99152 | <1% | 1,810 | $12K | |
| 59425 | <1% | 26 | $11K | |
| 93018 | <1% | 1,380 | $11K | |
| 58300 | <1% | 293 | $11K | |
| 81025 | <1% | 1,526 | $10K | |
| 93351 | <1% | 192 | $10K | |
| 90651 | <1% | 833 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 995 | $8K |
| 93298 | <1% | 428 | $7K | |
| 94060 | <1% | 401 | $7K | |
| 99496 | <1% | 58 | $7K | |
| 95816 | <1% | 212 | $6K | |
| 93880 | <1% | 208 | $6K | |
| 81003 | <1% | 3,282 | $6K | |
| 99283 | Emergency room visit (moderate) | <1% | 158 | $5K |
| 99217 | <1% | 113 | $4K | |
| 90670 | <1% | 2,801 | $4K | |
| 95951 | <1% | 31 | $4K | |
| 58301 | <1% | 76 | $3K | |
| 93458 | <1% | 26 | $3K | |
| 95819 | <1% | 113 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 356 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 198 | $3K |
| 90671 | <1% | 16 | $3K | |
| 99459 | <1% | 325 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 192 | $2K |
| 62321 | <1% | 28 | $2K | |
| 90632 | <1% | 32 | $2K | |
| 99463 | <1% | 27 | $2K | |
| 99442 | <1% | 127 | $2K | |
| 99236 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 64484 | <1% | 48 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 104 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $1K |
| 99406 | <1% | 181 | $1K | |
| 72110 | <1% | 95 | $1K | |
| 73610 | <1% | 124 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 90 | $1K |
| 72100 | <1% | 91 | $1K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 13 | $1K |
| 93016 | <1% | 97 | $1K | |
| 57454 | <1% | 12 | $1K | |
| 90620 | <1% | 259 | $1K | |
| 98926 | <1% | 46 | $1K | |
| 96160 | <1% | 25 | $903.96 | |
| 77003 | <1% | 459 | $865.48 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 101 | $831.43 |
| 93356 | <1% | 116 | $817.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 122 | $797.60 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 13 | $709.28 |
| 73030 | <1% | 59 | $636.22 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 108 | $617.78 |
| 99441 | <1% | 85 | $556.53 | |
| 93923 | <1% | 27 | $513.35 | |
| 81002 | <1% | 242 | $483.95 | |
| 95908 | <1% | 12 | $431.01 | |
| 99401 | <1% | 25 | $389.41 | |
| 90716 | <1% | 530 | $360.62 | |
| 73562 | <1% | 31 | $336.68 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 171 | $328.59 |
| 94010 | <1% | 29 | $275.11 | |
| 90734 | <1% | 656 | $257.70 | |
| 98925 | <1% | 16 | $244.49 | |
| 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% | 452 | $221.94 |
| 99201 | <1% | 13 | $221.62 | |
| 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% | 27 | $193.86 |
| 73564 | <1% | 20 | $191.85 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 12 | $181.30 |
| 99225 | <1% | 19 | $157.01 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 18 | $154.44 |
| 90707 | <1% | 719 | $154.30 | |
| 90688 | <1% | 289 | $142.94 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 383 | $136.28 |
| 90474 | <1% | 46 | $135.00 | |
| 73110 | <1% | 15 | $104.08 | |
| 73502 | <1% | 12 | $101.94 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 42 | $75.42 |
| 73130 | <1% | 13 | $74.05 | |
| 76000 | <1% | 13 | $70.64 | |
| 93325 | <1% | 14 | $25.40 | |
| 96127 | <1% | 13 | $22.86 | |
| 82962 | <1% | 205 | $8.06 | |
| 3051F | <1% | 60 | $0.05 | |
| 3008F | 0% | 1,611 | $0.00 | |
| 90647 | 0% | 2,479 | $0.00 | |
| 3079F | 0% | 325 | $0.00 | |
| 90723 | 0% | 2,634 | $0.00 | |
| 90696 | 0% | 465 | $0.00 | |
| 3075F | 0% | 64 | $0.00 | |
| 3044F | 0% | 1,483 | $0.00 | |
| 3074F | 0% | 927 | $0.00 | |
| 0500F | 0% | 94 | $0.00 | |
| 0503F | 0% | 12 | $0.00 | |
| 1125F | 0% | 17 | $0.00 | |
| 4000F | 0% | 13 | $0.00 | |
| 0502F | 0% | 4,018 | $0.00 | |
| 90633 | 0% | 1,435 | $0.00 | |
| 90700 | 0% | 485 | $0.00 | |
| 90681 | 0% | 1,094 | $0.00 | |
| 90461 | 0% | 794 | $0.00 | |
| 3078F | 0% | 727 | $0.00 | |
| 90710 | 0% | 400 | $0.00 | |
| 3015F | 0% | 40 | $0.00 | |
| 3077F | 0% | 18 | $0.00 | |
| 3046F | 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 officialBRISSE, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Macomb | Clinton Township, MI | $17K |
| Mclaren Macomb | Mount Clemens, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.