Physician
Northern Michigan Medicine and Pediatrics, PLLC
Northern Michigan Medicine and Pediatrics, PLLC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoNORTHERN MICHIGAN MEDICINE AND PEDIATRICS, PLLC
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1528168895assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims21,541
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#112 of 349
Median peer was paid$321K
This provider vs. median3.4×
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 | 5,998 | $148K | |
| 2019 | 2,557 | $135K | |
| 2020 | 2,300 | $124K | |
| 2021 | 2,699 | $173K | |
| 2022 | 3,054 | $186K | |
| 2023 | 2,950 | $197K | |
| 2024incomplete | 1,983 | $129K |
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 | 40% | 5,552 | 5,146 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 6,954 | 6,448 | $392K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 678 | 656 | $75K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 646 | 646 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 354 | 354 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 281 | 281 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 345 | 341 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 230 | 230 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,459 | 1,458 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 116 | 116 | $11K |
| 90686 | <1% | 383 | 378 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 386 | 385 | $4K |
18 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 70 | $3K |
| 96127 | <1% | 905 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | $603.24 |
| 99000 | <1% | 60 | $553.00 | |
| 87430 | <1% | 26 | $297.06 | |
| 90656 | <1% | 12 | $250.33 | |
| 81002 | <1% | 27 | $44.46 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,374 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 89 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 1,260 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 1160F | 0% | 33 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 29 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 96 | $0.00 |
| 3074F | 0% | 28 | $0.00 | |
| 99050 | 0% | 12 | $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 officialKUHN, ROBERT (D.O.)