NP / PA
Munson Medical Group
Munson Medical Group was paid $26K by Medicaid between Feb 2021 and Apr 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoMUNSON MEDICAL GROUP
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1447859558assigned 10/20/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$26K
24GClaims951
24DCodes billed8
24AFirst – last monthFeb 2021 – Apr 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Michigan
Rank by total paid#24 of 49
Median peer was paid$20K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2021 | 236 | $9K | |
| 2022 | 566 | $14K | |
| 2023 | 149 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 82% | 326 | 300 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 74 | 73 | $4K |
| 96127 | <1% | 91 | 86 | $229.74 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | 26 | $61.26 |
| 3074F | 0% | 241 | 226 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | 12 | $0.00 |
| 3078F | 0% | 136 | 130 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 42 | 41 | $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 officialHEPLER, MARK (CFO)
Parent organizationMUNSON MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Munson Healthcare Manistee Hospital | Manistee, MI | $333K |
| Munson Medical Center | Petoskey, MI | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.