Physician
Munson Medical Center
Munson Medical Center was paid $8K by Medicaid between Oct 2018 and Sep 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMUNSON MEDICAL CENTER
PETOSKEY, MI 49770
PETOSKEY, MI 49770
33aNPI1396235610assigned 05/11/2018
33bProvider typeUrology Physician
28Total paid$8K
24GClaims499
24DCodes billed5
24AFirst – last monthOct 2018 – Sep 2020
Compared with peers
Next to other Urology Physician providers in Michigan
Rank by total paid#26 of 41
Median peer was paid$22K
This provider vs. median0.4×
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 | 34 | $97.83 | |
| 2019 | 271 | $3K | |
| 2020 | 194 | $5K |
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 | 49% | 110 | 108 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 38% | 56 | 56 | $3K |
| 81000 | 6.8% | 192 | 191 | $565.10 | |
| 51798 | 4.3% | 61 | 60 | $358.71 | |
| 81002 | 2.2% | 80 | 78 | $183.03 |
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 officialHEPLER, MARK (CFO)
| Provider | Location | Paid |
|---|---|---|
| Munson Healthcare Manistee Hospital | Manistee, MI | $333K |
| Munson Medical Group | Traverse City, MI | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.