Physician
Downriver Endocrinology PLC
Downriver Endocrinology PLC was paid $380K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.
33Billing provider infoDOWNRIVER ENDOCRINOLOGY PLC
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1467727420assigned 03/09/2012
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$380K
24GClaims9,254
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Michigan
Rank by total paid#7 of 37
Median peer was paid$136K
This provider vs. median2.8×
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 | 872 | $29K | |
| 2019 | 1,150 | $45K | |
| 2020 | 1,240 | $52K | |
| 2021 | 1,067 | $38K | |
| 2022 | 1,343 | $51K | |
| 2023 | 1,630 | $68K | |
| 2024incomplete | 1,952 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 31% | 2,702 | 1,006 | $118K |
| 99223 | Prolong inpt eval add15 m | 30% | 1,044 | 999 | $115K |
| 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 | 23% | 1,437 | 1,365 | $87K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 8.2% | 1,171 | 483 | $31K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.5% | 314 | 305 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 101 | 94 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 14 | $1K |
| 3078F | 0% | 589 | 583 | $0.00 | |
| 3074F | 0% | 1,548 | 1,531 | $0.00 | |
| 3079F | 0% | 334 | 331 | $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 officialKHOURY, NADIA (PRACTICE MANAGER)