Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Thomas Kizy MD PLLC

Thomas Kizy MD PLLC was paid $826K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoTHOMAS KIZY MD PLLC
ALGONAC, MI 48001
33aNPI1457726770assigned 12/11/2015
28Total paid$826K
24GClaims20,036
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#158 of 826
Median peer was paid$98K
This provider vs. median8.5×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,859$132K
20193,235$105K
20201,968$74K
20212,684$117K
20222,630$113K
20233,213$153K
2024incomplete2,447$133K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 8,349 7,471 $487K
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 25% 2,458 2,398 $205K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5.6% 967 884 $46K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3.2% 266 263 $26K
80305 2.4% 2,158 1,959 $20K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 172 166 $14K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 176 172 $12K
99406 <1% 728 713 $5K
93000 <1% 473 466 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 124 119 $4K
36415 Collection of venous blood by venipuncture <1% 346 322 $945.06
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% 14 12 $858.55
12 more codes
96127 <1% 131 $389.29
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 58 $389.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 34 $354.72
90674 <1% 14 $300.00
G8783 Normal blood pressure reading documented, follow-up not required <1% 478 $6.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 949 $6.00
3078F 0% 109 $0.00
96160 0% 15 $0.00
3008F 0% 1,736 $0.00
1034F 0% 97 $0.00
3074F 0% 124 $0.00
1036F 0% 60 $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 officialKIZY, THOMAS (OWNER/PHYSICIAN)