Physician
Downriver Family Physicians PC
Downriver Family Physicians PC was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoDOWNRIVER FAMILY PHYSICIANS PC
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
33aNPI1508144601assigned 07/25/2011
33bProvider typeFamily Medicine Physician
28Total paid$1.12M
24GClaims14,230
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#116 of 826
Median peer was paid$98K
This provider vs. median11×
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 | 2,177 | $161K | |
| 2019 | 1,767 | $150K | |
| 2020 | 1,748 | $119K | |
| 2021 | 1,788 | $168K | |
| 2022 | 2,934 | $194K | |
| 2023 | 2,183 | $180K | |
| 2024incomplete | 1,633 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 84% | 10,382 | 9,750 | $942K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 1,313 | 1,209 | $81K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.3% | 688 | 688 | $71K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 271 | 270 | $25K |
| 99406 | <1% | 136 | 128 | $1K | |
| 90686 | <1% | 86 | 86 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | 34 | $333.28 |
| 3078F | 0% | 389 | 384 | $0.00 | |
| 3077F | 0% | 53 | 48 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 36 | 36 | $0.00 |
| 3074F | 0% | 429 | 420 | $0.00 | |
| 3008F | 0% | 112 | 109 | $0.00 |
7 more codes
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 officialJAIN, KIRTI (OWNER)