Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › St Clair Shores › NPI 1427027416
Physician

Michigan Institute of Urology PC

Michigan Institute of Urology PC was paid $8.90M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoMICHIGAN INSTITUTE OF UROLOGY PC
ST CLAIR SHORES, MI 48081
33aNPI1427027416assigned 03/14/2006
28Total paid$8.90M
24GClaims222,119
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anatomic Pathology Physician providers in Michigan

Rank by total paid#1 of 5
Median peer was paid$21K
This provider vs. median433×

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$100K$200K2018201920202021202220232024
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
201827,989$1.12M
201924,623$963K
202026,989$1.07M
202133,583$1.45M
202231,453$1.29M
202334,067$1.36M
2024incomplete43,415$1.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 37,406 36,256 $2.19M
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 14% 13,268 13,215 $1.28M
76770 7.5% 13,507 9,121 $668K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.5% 13,620 13,275 $575K
52000 6.0% 4,956 4,926 $535K
99222 Initial hospital care, per day, moderate complexity 5.5% 6,668 6,482 $491K
51728 4.4% 3,194 3,159 $392K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.3% 9,364 4,641 $378K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 4.0% 1,139 1,132 $358K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 3,583 3,569 $227K
52310 2.4% 1,352 1,329 $210K
52356 1.8% 715 701 $163K
57 more codes
99215 Doctor's office visit, returning patient (complex) 1.8% 2,043 $161K
52332 1.7% 2,192 $155K
J0897 Injection, denosumab, 1 mg 1.2% 111 $105K
76775 1.1% 3,054 $97K
51798 1.1% 14,852 $94K
81003 <1% 56,581 $85K
76872 <1% 890 $66K
93975 <1% 440 $63K
99442 <1% 1,608 $61K
50590 <1% 140 $58K
76870 <1% 1,400 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,530 $39K
74420 <1% 3,151 $37K
54161 <1% 395 $35K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 478 $31K
36415 Collection of venous blood by venipuncture <1% 8,921 $30K
84153 <1% 1,720 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,320 $27K
51797 <1% 275 $26K
51784 <1% 695 $25K
55700 <1% 199 $17K
52281 <1% 97 $16K
54162 <1% 220 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 287 $15K
52352 <1% 55 $10K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 3,568 $9K
54640 <1% 26 $7K
51741 <1% 530 $6K
99205 Prolong outpt/office vis <1% 50 $6K
76942 <1% 174 $6K
99223 Prolong inpt eval add15 m <1% 44 $5K
51702 <1% 159 $4K
88112 <1% 94 $4K
51700 <1% 126 $4K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 55 $4K
51705 <1% 86 $4K
99283 Emergency room visit (moderate) <1% 103 $4K
87150 <1% 27 $4K
52351 <1% 26 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 159 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 59 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 67 $3K
99406 <1% 368 $3K
81001 <1% 1,047 $2K
87481 <1% 47 $966.77
99490 Ccm add 20min <1% 84 $690.11
99459 <1% 57 $633.19
81002 <1% 237 $544.01
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 47 $483.38
80048 Basic metabolic panel (calcium, ionized) <1% 84 $393.91
87653 <1% 34 $367.18
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 34 $367.18
81000 <1% 80 $209.18
87640 <1% 33 $191.90
87641 <1% 27 $159.62
87500 <1% 27 $159.62
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 134 $158.28

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 officialGUZ, BRIAN (PRESIDENT)