Physician
Downriver Obstetrics and Gynecology PLC
Downriver Obstetrics and Gynecology PLC was paid $836K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoDOWNRIVER OBSTETRICS AND GYNECOLOGY PLC
TRENTON, MI 48183
TRENTON, MI 48183
33aNPI1407939069assigned 10/24/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$836K
24GClaims10,325
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#38 of 173
Median peer was paid$66K
This provider vs. median13×
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 | 2,082 | $192K | |
| 2019 | 1,643 | $117K | |
| 2020 | 1,728 | $145K | |
| 2021 | 1,605 | $146K | |
| 2022 | 1,266 | $94K | |
| 2023 | 1,101 | $74K | |
| 2024incomplete | 900 | $67K |
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 | 24% | 4,346 | 4,087 | $200K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 22% | 2,305 | 2,303 | $187K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 14% | 152 | 149 | $115K |
| 59426 | 13% | 136 | 136 | $107K | |
| 59430 | 6.4% | 267 | 267 | $53K | |
| 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 | 4.9% | 445 | 445 | $41K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.9% | 416 | 416 | $33K |
| 59025 | Fetal non-stress test | 3.4% | 1,035 | 287 | $28K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 176 | 176 | $16K |
| 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 | 1.9% | 245 | 243 | $16K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 224 | 213 | $15K |
| 76830 | Ultrasound, transvaginal | 1.7% | 212 | 212 | $14K |
6 more codes
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 62 | $4K |
| 54150 | <1% | 51 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 179 | $2K |
| 58300 | <1% | 24 | $993.08 | |
| 76801 | <1% | 12 | $836.76 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 38 | $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 officialFINAZZO, SALVATORE (DIRECTOR)