Western Michigan University
Western Michigan University was paid $482K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoWESTERN MICHIGAN UNIVERSITY
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
33aNPI1467470492assigned 07/17/2006
33bProvider typePhysical Therapist
28Total paid$482K
24GClaims10,353
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Michigan
Rank by total paid#23 of 161
Median peer was paid$62K
This provider vs. median7.8×
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 | 2,381 | $83K | |
| 2019 | 1,998 | $73K | |
| 2020 | 1,512 | $63K | |
| 2021 | 1,762 | $94K | |
| 2022 | 970 | $56K | |
| 2023 | 891 | $58K | |
| 2024incomplete | 839 | $54K |
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 | 42% | 4,061 | 3,585 | $202K |
| 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 | 37% | 2,464 | 2,258 | $177K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.6% | 316 | 142 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 198 | 197 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 381 | 348 | $11K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.3% | 327 | 318 | $11K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.2% | 327 | 318 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 203 | 197 | $8K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.1% | 128 | 117 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 241 | 240 | $2K |
| 0002A | <1% | 54 | 54 | $2K | |
| 90674 | <1% | 79 | 79 | $2K |
13 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 724 | $2K |
| 0001A | <1% | 52 | $2K | |
| 87210 | <1% | 350 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $1K |
| 90688 | <1% | 134 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | $745.81 |
| 87428 | <1% | 13 | $684.45 | |
| 90661 | <1% | 14 | $420.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $326.06 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 40 | $261.27 |
| 81001 | <1% | 52 | $133.26 | |
| 81003 | <1% | 13 | $18.61 | |
| 91300 | 0% | 78 | $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 officialEDDY, CAROL (DIRECTOR)