Physician
Great Lakes Pediatrics
Great Lakes Pediatrics was paid $2.39M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoGREAT LAKES PEDIATRICS
WARREN, MI 48089
WARREN, MI 48089
33aNPI1417126715assigned 02/21/2008
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.39M
24GClaims77,757
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Michigan
Rank by total paid#11 of 46
Median peer was paid$567K
This provider vs. median4.2×
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 | 14,170 | $364K | |
| 2019 | 14,880 | $347K | |
| 2020 | 8,640 | $241K | |
| 2021 | 9,794 | $291K | |
| 2022 | 9,509 | $362K | |
| 2023 | 10,668 | $446K | |
| 2024incomplete | 10,096 | $340K |
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 | 25% | 8,862 | 8,243 | $599K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 4,736 | 4,702 | $378K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 4,084 | 4,062 | $325K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.7% | 6,565 | 6,033 | $233K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 3,248 | 3,191 | $229K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.2% | 2,515 | 2,495 | $221K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.1% | 9,130 | 9,037 | $193K |
| 99381 | 1.7% | 474 | 469 | $42K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 1,401 | 1,369 | $38K |
| 99383 | 1.5% | 381 | 377 | $37K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 2,409 | 2,349 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,456 | 1,378 | $19K |
37 more codes
| 83655 | <1% | 1,012 | $12K | |
| 99384 | <1% | 88 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 301 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,565 | $8K |
| 99382 | <1% | 43 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $782.16 |
| 99442 | <1% | 12 | $661.51 | |
| 99441 | <1% | 50 | $394.41 | |
| 90686 | <1% | 3,390 | $344.03 | |
| 97802 | <1% | 175 | $204.45 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,064 | $30.00 |
| 81002 | <1% | 13 | $14.54 | |
| 90698 | 0% | 1,957 | $0.00 | |
| 90744 | 0% | 1,441 | $0.00 | |
| 90619 | 0% | 600 | $0.00 | |
| 90620 | 0% | 609 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 511 | $0.00 |
| 90680 | 0% | 1,948 | $0.00 | |
| 90716 | 0% | 1,819 | $0.00 | |
| 90656 | 0% | 251 | $0.00 | |
| 90696 | 0% | 638 | $0.00 | |
| 90651 | 0% | 1,353 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,114 | $0.00 |
| 90677 | 0% | 311 | $0.00 | |
| 90647 | 0% | 539 | $0.00 | |
| 90723 | 0% | 200 | $0.00 | |
| 90707 | 0% | 1,808 | $0.00 | |
| 90700 | 0% | 654 | $0.00 | |
| 90633 | 0% | 1,770 | $0.00 | |
| 90670 | 0% | 2,645 | $0.00 | |
| 90713 | 0% | 49 | $0.00 | |
| 97803 | 0% | 907 | $0.00 | |
| 90734 | 0% | 686 | $0.00 | |
| 90685 | 0% | 413 | $0.00 | |
| 90715 | 0% | 464 | $0.00 | |
| 99401 | 0% | 25 | $0.00 | |
| 90461 | 0% | 12 | $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 officialRUMMANI-ASKAR, SUNDUS (PRESIDENT)