Physician
River Oaks Primary Care PLLC
River Oaks Primary Care PLLC was paid $2.01M by Medicaid between Mar 2020 and Dec 2024, across 106 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoRIVER OAKS PRIMARY CARE PLLC
DEARBORN HEIGHTS, MI 48127
DEARBORN HEIGHTS, MI 48127
33aNPI1437794112assigned 11/17/2019
33bProvider typePediatrics Physician
28Total paid$2.01M
24GClaims123,606
24DCodes billed106
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#66 of 349
Median peer was paid$321K
This provider vs. median6.3×
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
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 | |
|---|---|---|---|
| 2020 | 16,177 | $271K | |
| 2021 | 20,897 | $443K | |
| 2022 | 33,592 | $490K | |
| 2023 | 31,226 | $477K | |
| 2024incomplete | 21,714 | $334K |
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 | 43% | 12,589 | 11,422 | $872K |
| 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 | 27% | 5,989 | 5,726 | $538K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 951 | 948 | $79K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 829 | 825 | $68K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 3,968 | 2,246 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 494 | 490 | $43K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 465 | 462 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 353 | 352 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 665 | 643 | $27K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 1,628 | 1,501 | $27K |
| 99442 | <1% | 369 | 362 | $19K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,204 | 4,966 | $18K |
94 more codes
| 92588 | <1% | 1,104 | $18K | |
| 99441 | <1% | 517 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,929 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 170 | $12K |
| 0001A | <1% | 390 | $12K | |
| 0002A | <1% | 338 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 114 | $11K |
| 99406 | <1% | 1,168 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 280 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 61 | $6K |
| 99000 | <1% | 4,679 | $6K | |
| 93000 | <1% | 672 | $6K | |
| 99383 | <1% | 62 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 123 | $5K |
| 99443 | <1% | 106 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 334 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $4K |
| 87400 | <1% | 352 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 215 | $4K |
| 99385 | <1% | 34 | $3K | |
| 81025 | <1% | 451 | $3K | |
| 92587 | <1% | 295 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 244 | $3K |
| 82962 | <1% | 1,175 | $3K | |
| 96127 | <1% | 1,011 | $3K | |
| 0071A | <1% | 65 | $2K | |
| 0072A | <1% | 53 | $2K | |
| 80305 | <1% | 219 | $2K | |
| 0003A | <1% | 51 | $2K | |
| 92558 | <1% | 606 | $2K | |
| 87430 | <1% | 194 | $2K | |
| 81003 | <1% | 906 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 56 | $1K |
| 90677 | <1% | 12 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 692 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 153 | $878.28 |
| 81002 | <1% | 326 | $824.75 | |
| 94060 | <1% | 38 | $747.60 | |
| 94375 | <1% | 32 | $614.23 | |
| 94010 | <1% | 39 | $590.25 | |
| 90756 | <1% | 40 | $552.42 | |
| 90686 | <1% | 232 | $406.03 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $360.57 |
| 90716 | <1% | 14 | $299.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $246.56 |
| 90715 | <1% | 121 | $243.07 | |
| 90670 | <1% | 322 | $230.14 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 205 | $227.96 |
| 90674 | <1% | 125 | $210.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 166 | $146.96 |
| 90688 | <1% | 27 | $111.62 | |
| 83014 | <1% | 36 | $79.98 | |
| 3008F | <1% | 11,713 | $15.14 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,320 | $12.50 |
| 1159F | <1% | 10,664 | $11.45 | |
| 3074F | <1% | 9,294 | $10.17 | |
| 3078F | <1% | 8,105 | $8.47 | |
| 99173 | <1% | 1,859 | $3.94 | |
| 3079F | <1% | 3,239 | $3.72 | |
| 1034F | <1% | 2,564 | $3.20 | |
| 3075F | <1% | 1,775 | $2.52 | |
| 3077F | <1% | 1,272 | $1.88 | |
| 3080F | <1% | 950 | $1.74 | |
| 3351F | <1% | 1,275 | $0.16 | |
| 1000F | <1% | 137 | $0.02 | |
| 3725F | 0% | 2,369 | $0.00 | |
| 90461 | 0% | 1,203 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 78 | $0.00 |
| 90633 | 0% | 228 | $0.00 | |
| 99072 | 0% | 1,427 | $0.00 | |
| 4004F | 0% | 1,638 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 109 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 113 | $0.00 |
| 91300 | 0% | 144 | $0.00 | |
| 90661 | 0% | 51 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 52 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 210 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| 90710 | 0% | 12 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 1036F | 0% | 6,730 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 65 | $0.00 |
| 90698 | 0% | 71 | $0.00 | |
| 3044F | 0% | 238 | $0.00 | |
| 90651 | 0% | 80 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 102 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 84 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 76 | $0.00 |
| 90697 | 0% | 12 | $0.00 | |
| 91307 | 0% | 70 | $0.00 | |
| 90619 | 0% | 62 | $0.00 | |
| 90744 | 0% | 12 | $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 officialELDER, MAHIR (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Halo Medical Group PLLC | Detroit, MI | $19.42M |
| Halo Primary Care PLLC | Detroit, MI | $639K |
| Mahir D Elder MD PC | Detroit, MI | $110K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.