Physician
Grace University Medical Group
Grace University Medical Group was paid $36K by Medicaid between Feb 2019 and Oct 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoGRACE UNIVERSITY MEDICAL GROUP
DETROIT, MI 48235
DETROIT, MI 48235
33aNPI1447215538assigned 04/20/2006
33bProvider typeHematology & Oncology Physician
28Total paid$36K
24GClaims1,415
24DCodes billed5
24AFirst – last monthFeb 2019 – Oct 2019
Compared with peers
Next to other Hematology & Oncology Physician providers in Michigan
Rank by total paid#26 of 36
Median peer was paid$63K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 1,415 | $36K |
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 | 61% | 991 | 964 | $22K |
| 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 | 26% | 249 | 225 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 89 | 88 | $3K |
| 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 | 3.6% | 28 | 28 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 58 | 58 | $598.92 |
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 officialBERGSMAN, KENNETH (MANAGER)