Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Dowagiac › NPI 1427723675
Physician

Community Care of Dowagiac, PLLC

Community Care of Dowagiac, PLLC was paid $24K by Medicaid between Jun 2022 and May 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider infoCOMMUNITY CARE OF DOWAGIAC, PLLC
DOWAGIAC, MI 49047
33aNPI1427723675assigned 08/10/2021
28Total paid$24K
24GClaims331
24DCodes billed3
24AFirst – last monthJun 2022 – May 2024
Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#519 of 816
Median peer was paid$70K
This provider vs. median0.3×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202258$3K
2023221$16K
2024incomplete52$5K
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 89% 255 245 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 47 42 $3K
99406 <1% 29 26 $222.54

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 officialBASHA, KATHLEEN (PROVIDER)