Physician
Madison Heights Urgent Care, PC
Madison Heights Urgent Care, PC was paid $3.72M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoMADISON HEIGHTS URGENT CARE, PC
MADISON HEIGHTS, MI 48071
MADISON HEIGHTS, MI 48071
33aNPI1437393386assigned 04/22/2009
33bProvider typePediatrics Physician
28Total paid$3.72M
24GClaims227,308
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#36 of 349
Median peer was paid$321K
This provider vs. median12×
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 | 52,048 | $568K | |
| 2019 | 42,320 | $584K | |
| 2020 | 20,377 | $448K | |
| 2021 | 21,829 | $555K | |
| 2022 | 44,216 | $754K | |
| 2023 | 29,373 | $445K | |
| 2024incomplete | 17,145 | $369K |
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 | 73% | 58,366 | 45,428 | $2.70M |
| 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 | 7.6% | 3,930 | 3,722 | $284K |
| 99058 | 3.4% | 2,016 | 1,553 | $128K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 4,172 | 3,737 | $113K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 6,120 | 5,449 | $77K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 1,681 | 1,666 | $76K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 702 | 691 | $67K |
| 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 | 1.1% | 385 | 385 | $40K |
| 97802 | 1.0% | 18,408 | 16,834 | $38K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,401 | 12,000 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 555 | 509 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 409 | 394 | $30K |
45 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 341 | $30K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,300 | $15K |
| 93000 | <1% | 1,621 | $12K | |
| 72100 | <1% | 327 | $6K | |
| 81003 | <1% | 3,473 | $5K | |
| 94010 | <1% | 259 | $4K | |
| 99442 | <1% | 273 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 55 | $3K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,918 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 133 | $3K |
| 99051 | <1% | 8,997 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,331 | $1K |
| 72040 | <1% | 72 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 75 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,541 | $957.69 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 160 | $756.24 |
| 81025 | <1% | 99 | $539.87 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 117 | $539.73 |
| 99000 | <1% | 608 | $511.86 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 90 | $462.69 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $306.47 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 208 | $255.32 |
| 69209 | <1% | 25 | $241.55 | |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 58 | $192.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 41 | $175.09 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 17,344 | $162.45 |
| 73020 | <1% | 15 | $139.48 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $131.99 |
| 82962 | <1% | 28 | $59.64 | |
| 3074F | <1% | 21,395 | $15.15 | |
| 3079F | <1% | 13,683 | $10.98 | |
| 3078F | <1% | 14,635 | $10.47 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 12 | $9.01 |
| 2010F | <1% | 1,897 | $8.08 | |
| 3008F | <1% | 1,710 | $7.31 | |
| 3075F | <1% | 6,568 | $6.68 | |
| 3080F | <1% | 4,117 | $4.58 | |
| 3077F | <1% | 4,497 | $4.14 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,193 | $0.10 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 1,733 | $0.10 |
| 90658 | <1% | 13 | $0.07 | |
| 2000F | <1% | 1,298 | $0.02 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 651 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 166 | $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 officialTOMA, NABEEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Madison Heights Pediatrics PC | Madison Heights, MI | $1.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.