Physician
4M Monroe Medical Services PLLC
4M Monroe Medical Services PLLC was paid $6.44M by Medicaid between Jan 2018 and Sep 2023, across 33 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.
33Billing provider info4M MONROE MEDICAL SERVICES PLLC
ADRIAN, MI 49221
ADRIAN, MI 49221
33aNPI1477962199assigned 08/06/2014
33bProvider typeEmergency Medicine Physician
28Total paid$6.44M
24GClaims176,074
24DCodes billed33
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Michigan
Rank by total paid#20 of 248
Median peer was paid$57K
This provider vs. median114×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more
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 | 44,134 | $2.14M | |
| 2019 | 49,656 | $1.71M | |
| 2020 | 33,687 | $936K | |
| 2021 | 25,392 | $629K | |
| 2022 | 16,456 | $606K | |
| 2023 | 6,749 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 39% | 42,578 | 39,093 | $2.54M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 32% | 26,235 | 23,551 | $2.08M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 34,556 | 32,185 | $1.39M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.0% | 2,343 | 2,245 | $261K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,667 | 1,634 | $54K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 11,932 | 10,585 | $52K |
| 12001 | <1% | 1,037 | 1,008 | $27K | |
| 10060 | <1% | 214 | 209 | $12K | |
| 12011 | <1% | 306 | 289 | $10K | |
| 12002 | <1% | 169 | 165 | $6K | |
| 10061 | <1% | 12 | 12 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 24 | 24 | $778.62 |
21 more codes
| 29125 | <1% | 33 | $652.16 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,864 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 9,048 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 561 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,278 | $0.00 |
| 4004F | 0% | 925 | $0.00 | |
| 3210F | 0% | 175 | $0.00 | |
| G9593 | Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules | 0% | 13 | $0.00 |
| 4124F | 0% | 65 | $0.00 | |
| 99053 | 0% | 2,024 | $0.00 | |
| 3046F | 0% | 115 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 15 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 185 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 989 | $0.00 |
| 1036F | 0% | 834 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 19,235 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 354 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 14,043 | $0.00 |
| G9532 | Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | 0% | 99 | $0.00 |
| G9529 | Patient with minor blunt head trauma had an appropriate indication(s) for a head ct | 0% | 100 | $0.00 |
| G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | 0% | 46 | $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 officialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Alteon Health New Mexico LLC | Hobbs, NM | $11.93M |
| Alteon Health Alabama, LLC | Talladega, AL | $8.36M |
| Mahoning Valley Emergency Specialists LLC | Youngstown, OH | $7.69M |
| Island Emergency Medical Services, P.C. | Far Rockaway, NY | $7.30M |
| Mves Boardman LLC | Youngstown, OH | $5.99M |
| Mves Austintown LLC | Austintown, OH | $3.29M |
| Island Medical Alabama LLC | Cullman, AL | $3.05M |
| JMH Emergency Physicians | Ranson, WV | $2.60M |
| 4M Emergency Systems Tod LLC | Warren, OH | $2.25M |
| Alteon Health New Jersey PC | Holmdel, NJ | $1.48M |
| Mission Viejo Emergency Medical Associates, INC. | Laguna Beach, CA | $881K |
| Alteon Health Indiana LLC | Frankfort, IN | $756K |
| Island Medical Hospitalist Lea LLC | Hobbs, NM | $128K |
| Alteon Health New Jersey HM PC | Holmdel, NJ | $99K |
| Utah Regional Hospitalists LLC | Idaho Falls, ID | $10K |
| Usacs Observation Medicine Services of Colorado, INC | Golden, CO | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.