Michigan Pediatric Surgery Associates P.C.
Michigan Pediatric Surgery Associates P.C. was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 22% of everything it billed.
33Billing provider infoMICHIGAN PEDIATRIC SURGERY ASSOCIATES P.C.
DETROIT, MI 48201
DETROIT, MI 48201
33aNPI1396817714assigned 11/14/2006
33bProvider typeSpecialist
28Total paid$1.45M
24GClaims26,267
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#25 of 181
Median peer was paid$94K
This provider vs. median15×
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 | 3,570 | $192K | |
| 2019 | 3,953 | $217K | |
| 2020 | 3,405 | $179K | |
| 2021 | 4,092 | $237K | |
| 2022 | 3,664 | $189K | |
| 2023 | 3,681 | $193K | |
| 2024incomplete | 3,902 | $242K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 7,570 | 2,082 | $321K |
| 44970 | 19% | 768 | 765 | $270K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 5,671 | 5,657 | $261K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 7,163 | 5,821 | $247K |
| 99223 | Prolong inpt eval add15 m | 5.0% | 659 | 644 | $72K |
| 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 | 4.4% | 1,296 | 1,239 | $64K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 1,012 | 627 | $63K |
| 99219 | 3.2% | 620 | 613 | $46K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.1% | 580 | 576 | $45K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 449 | 442 | $21K |
| 99253 | 1.0% | 229 | 227 | $15K | |
| 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 | <1% | 135 | 135 | $10K |
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 officialSADLOCHA, SHERRI (BILLING MANAGER)