Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Blanc › NPI 1417970484
Physician

Wendy B Lawton, M.D., PLLC

Wendy B Lawton, M.D., PLLC was paid $168K by Medicaid between Jan 2018 and Jan 2022, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoWENDY B LAWTON, M.D., PLLC
GRAND BLANC, MI 48439
33aNPI1417970484assigned 07/25/2006
33bProvider typePediatrics Physician
28Total paid$168K
24GClaims5,504
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Pediatrics Physician providers in Michigan

Rank by total paid#206 of 349
Median peer was paid$321K
This provider vs. median0.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,964$55K
20191,680$55K
2020938$27K
2021863$29K
202259$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 1,372 1,263 $76K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14% 296 296 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 262 262 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 1,158 1,141 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.3% 213 209 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5.0% 902 900 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.7% 56 56 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 59 57 $2K
96127 1.0% 568 568 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 19 19 $662.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 28 26 $376.65
G9002 Coordinated care fee, maintenance rate <1% 115 111 $0.26
5 more codes
G9007 Coordinated care fee, scheduled team conference <1% 149 $0.22
90686 0% 139 $0.00
90698 0% 90 $0.00
90680 0% 12 $0.00
90670 0% 66 $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 officialLAWTON, WENDY (OWNER/PRESIDENT)