Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREAT LAKES PEDIATRICS

NPI: 1417126715 · WARREN, MI 48089 · Pediatric Adolescent Medicine Physician · NPI assigned 02/21/2008

$2.39M
Total Medicaid Paid
77,757
Total Claims
75,869
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUMMANI-ASKAR, SUNDUS (PRESIDENT)
NPI Enumeration Date02/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,170 $364K
2019 14,880 $347K
2020 8,640 $241K
2021 9,794 $291K
2022 9,509 $362K
2023 10,668 $446K
2024 10,096 $340K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,862 8,243 $599K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,736 4,702 $378K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,084 4,062 $325K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,565 6,033 $233K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,248 3,191 $229K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,515 2,495 $221K
90460 Immunization administration through 18 years of age via any route, first or only component 9,130 9,037 $193K
99381 474 469 $42K
90472 Immunization administration, each additional vaccine (list separately) 1,401 1,369 $38K
99383 381 377 $37K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,409 2,349 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,456 1,378 $19K
83655 1,012 998 $12K
99384 88 87 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 301 296 $9K
36415 Collection of venous blood by venipuncture 2,565 2,524 $8K
99382 43 41 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 59 58 $782.16
99442 12 12 $661.51
99441 50 46 $394.41
90686 3,390 3,358 $344.03
97802 175 175 $204.45
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,064 2,042 $30.00
81002 13 13 $14.54
90698 1,957 1,945 $0.00
90744 1,441 1,428 $0.00
90619 600 597 $0.00
90620 609 608 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 511 508 $0.00
90680 1,948 1,926 $0.00
90716 1,819 1,808 $0.00
90656 251 251 $0.00
90696 638 633 $0.00
90651 1,353 1,349 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,114 1,093 $0.00
90677 311 311 $0.00
90647 539 529 $0.00
90723 200 191 $0.00
90707 1,808 1,795 $0.00
90700 654 642 $0.00
90633 1,770 1,754 $0.00
90670 2,645 2,613 $0.00
90713 49 49 $0.00
97803 907 905 $0.00
90734 686 684 $0.00
90685 413 396 $0.00
90715 464 462 $0.00
99401 25 25 $0.00
90461 12 12 $0.00