Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › DEARBORN HEIGHTS › RIVER OAKS PRIMARY CARE PLLC

RIVER OAKS PRIMARY CARE PLLC

NPI: 1437794112 · DEARBORN HEIGHTS, MI 48127 · Pediatrics Physician · NPI assigned 11/17/2019

$2.01M
Total Medicaid Paid
123,606
Total Claims
113,272
Beneficiaries
106
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDER, MAHIR (AUTHORIZED OFFICIAL)
NPI Enumeration Date11/17/2019

Related Entities

Other providers sharing the same authorized official: ELDER, MAHIR

ProviderCityStateTotal Paid
HALO MEDICAL GROUP PLLC DETROIT MI $19.42M
HALO PRIMARY CARE PLLC DETROIT MI $639K
MAHIR D ELDER MD PC DETROIT MI $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16,177 $271K
2021 20,897 $443K
2022 33,592 $490K
2023 31,226 $477K
2024 21,714 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,589 11,422 $872K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,989 5,726 $538K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 951 948 $79K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 829 825 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 3,968 2,246 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 494 490 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 465 462 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 353 352 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 665 643 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,628 1,501 $27K
99442 369 362 $19K
36415 Collection of venous blood by venipuncture 5,204 4,966 $18K
92588 1,104 1,097 $18K
99441 517 507 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,929 1,748 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 170 167 $12K
0001A 390 385 $12K
0002A 338 336 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 114 113 $11K
99406 1,168 1,094 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 280 275 $8K
99215 Prolong outpt/office vis 61 59 $6K
99000 4,679 4,462 $6K
93000 672 661 $6K
99383 62 62 $5K
99232 Subsequent hospital care, per day, moderate complexity 123 50 $5K
99443 106 104 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 334 329 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 40 $4K
87400 352 346 $4K
71046 Radiologic examination, chest; 2 views 215 210 $4K
99385 34 34 $3K
81025 451 437 $3K
92587 295 295 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 244 243 $3K
82962 1,175 1,128 $3K
96127 1,011 977 $3K
0071A 65 65 $2K
0072A 53 53 $2K
80305 219 217 $2K
0003A 51 51 $2K
92558 606 605 $2K
87430 194 192 $2K
81003 906 877 $2K
90472 Immunization administration, each additional vaccine (list separately) 56 38 $1K
90677 12 12 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 692 601 $1K
83036 Hemoglobin; glycosylated (A1C) 153 153 $878.28
81002 326 321 $824.75
94060 38 38 $747.60
94375 32 32 $614.23
94010 39 38 $590.25
90756 40 40 $552.42
90686 232 230 $406.03
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $360.57
90716 14 14 $299.78
96110 Developmental screening, with scoring and documentation, per standardized instrument 26 26 $246.56
90715 121 121 $243.07
90670 322 318 $230.14
J1885 Injection, ketorolac tromethamine, per 15 mg 205 197 $227.96
90674 125 125 $210.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 166 161 $146.96
90688 27 27 $111.62
83014 36 36 $79.98
3008F 11,713 10,553 $15.14
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,320 1,225 $12.50
1159F 10,664 9,568 $11.45
3074F 9,294 8,507 $10.17
3078F 8,105 7,487 $8.47
99173 1,859 1,846 $3.94
3079F 3,239 3,051 $3.72
1034F 2,564 2,310 $3.20
3075F 1,775 1,714 $2.52
3077F 1,272 1,214 $1.88
3080F 950 907 $1.74
3351F 1,275 1,186 $0.16
1000F 137 133 $0.02
3725F 2,369 2,236 $0.00
90461 1,203 1,043 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 78 75 $0.00
90633 228 226 $0.00
99072 1,427 1,302 $0.00
4004F 1,638 1,484 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 109 106 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 113 111 $0.00
91300 144 136 $0.00
90661 51 51 $0.00
90734 25 25 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 52 49 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 210 199 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 15 15 $0.00
90710 12 12 $0.00
90713 12 12 $0.00
1036F 6,730 5,922 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 65 62 $0.00
90698 71 70 $0.00
3044F 238 235 $0.00
90651 80 80 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 14 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 102 100 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 84 82 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 76 74 $0.00
90697 12 12 $0.00
91307 70 61 $0.00
90619 62 62 $0.00
90744 12 12 $0.00