Physician
Residential Physicians Association, PLLC
Residential Physicians Association, PLLC was paid $46K by Medicaid between Jan 2018 and Dec 2020, across 12 billing codes. Its largest line is 99349, — 41% of everything it billed.
33Billing provider infoRESIDENTIAL PHYSICIANS ASSOCIATION, PLLC
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
33aNPI1457894461assigned 11/22/2016
33bProvider typeFamily Medicine Physician
28Total paid$46K
24GClaims3,114
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#491 of 826
Median peer was paid$98K
This provider vs. median0.5×
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
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 | |
|---|---|---|---|
| 2018 | 2,138 | $22K | |
| 2019 | 832 | $17K | |
| 2020 | 144 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 41% | 675 | 627 | $19K | |
| 99490 | Ccm add 20min | 26% | 1,336 | 1,320 | $12K |
| 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 | 20% | 247 | 173 | $9K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 8.2% | 336 | 331 | $4K |
| 11721 | 2.0% | 183 | 179 | $918.53 | |
| 11307 | 1.6% | 80 | 38 | $749.75 | |
| 11306 | <1% | 31 | 16 | $388.64 | |
| 11730 | <1% | 12 | 12 | $87.33 | |
| 20605 | <1% | 25 | 13 | $5.20 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 13 | 12 | $0.00 |
| 94760 | 0% | 15 | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 161 | 127 | $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 officialHAYES, DUSTIN (PROJECT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Dustin O. Hayes, D.O., P.C. | Broken Arrow, OK | $1.95M |
| Metrocare Visiting Physicians PLLC | Troy, MI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.