Pediatric Surgeons of West Michigan PC

Pediatric Surgeons of West Michigan PC was paid $696K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 19% of everything it billed.

33Billing provider infoPEDIATRIC SURGEONS OF WEST MICHIGAN PC
GRAND RAPIDS, MI 49503

33aNPI1477516110assigned 04/11/2006

33bProvider typeSurgery Physician

28Total paid$696K

24GClaims8,339

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#13 of 111

Median peer was paid$17K

This provider vs. median41×

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	795	$74K
2019	782	$65K
2020	731	$66K
2021	1,120	$91K
2022	1,417	$104K
2023	1,914	$151K
2024incomplete	1,580	$144K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	19%	1,323	1,303	$129K
99223	Prolong inpt eval add15 m	14%	916	886	$99K
44970		14%	288	274	$97K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	1,766	780	$76K
43762		11%	617	609	$74K
99243		10%	1,123	1,120	$72K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.6%	1,073	1,060	$53K
99222	Initial hospital care, per day, moderate complexity	4.1%	370	363	$29K
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	2.7%	302	295	$19K
99255		2.3%	143	140	$16K
99238	Hospital discharge day management, 30 minutes or less	1.1%	179	177	$8K
99254		<1%	58	58	$5K

8 more codes

43653		<1%	14	$5K
99220		<1%	40	$4K
99219		<1%	40	$3K
43760		<1%	12	$3K
99253		<1%	27	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	23	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$1K
99242		<1%	13	$656.76

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 officialJAMULA, JENNIFER (PRACTICE MANAGER)