D Fertel DO PC

D Fertel DO PC was paid $36K by Medicaid between Mar 2018 and May 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 39% of everything it billed.

33Billing provider infoD FERTEL DO PC
WESTLAND, MI 48185

33aNPI1518080126assigned 04/09/2007

33bProvider typeSurgery Physician

28Total paid$36K

24GClaims623

24DCodes billed7

24AFirst – last monthMar 2018 – May 2024

Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#46 of 111

Median peer was paid$17K

This provider vs. median2.1×

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	28	$1K
2019	213	$12K
2020	187	$10K
2021	96	$5K
2022	74	$5K
2023	12	$1K
2024incomplete	13	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	39%	136	132	$14K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	34%	234	83	$12K
99308	Subsequent nursing facility care, per day, straightforward	14%	157	91	$5K
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	4.1%	28	24	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	3.7%	28	25	$1K
99222	Initial hospital care, per day, moderate complexity	3.2%	15	14	$1K
99307		1.7%	25	19	$615.20

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 officialFERTEL, DAVID (PRESIDENT)