Physician
Grand Valley State University
Grand Valley State University was paid $583K by Medicaid between Jan 2018 and Sep 2023, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoGRAND VALLEY STATE UNIVERSITY
ALLENDALE, MI 49401
ALLENDALE, MI 49401
33aNPI1518019223assigned 01/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$583K
24GClaims20,188
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#193 of 826
Median peer was paid$98K
This provider vs. median6.0×
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 | 3,199 | $80K | |
| 2019 | 3,340 | $83K | |
| 2020 | 3,080 | $87K | |
| 2021 | 3,363 | $113K | |
| 2022 | 4,681 | $138K | |
| 2023 | 2,525 | $82K |
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 | 43% | 3,757 | 3,503 | $248K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 3,300 | 3,085 | $158K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.9% | 546 | 337 | $46K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.6% | 414 | 406 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,909 | 1,853 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 169 | 163 | $16K |
| 90686 | 1.9% | 1,046 | 1,021 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 328 | 307 | $9K |
| 96127 | 1.5% | 3,532 | 3,318 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 85 | 83 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 89 | 88 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 87 | 85 | $6K |
16 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,085 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 296 | $4K |
| 92551 | <1% | 351 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 32 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 153 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 33 | $295.88 |
| 96160 | <1% | 1,309 | $269.95 | |
| 99406 | <1% | 39 | $233.91 | |
| 90715 | <1% | 12 | $137.12 | |
| 81000 | <1% | 47 | $111.72 | |
| 81003 | <1% | 29 | $54.72 | |
| 81002 | <1% | 14 | $35.07 | |
| 99173 | 0% | 341 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| 99000 | 0% | 155 | $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 officialJONES, EDWARD (DCHWB)
| Provider | Location | Paid |
|---|---|---|
| Jones Chiropractic Clinic | Elkins, WV | $45K |
| Central Oklahoma Eye Associates, P.C. | Oklahoma City, OK | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.