Benton Harbor Health Center PLLC
Benton Harbor Health Center PLLC was paid $668K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoBENTON HARBOR HEALTH CENTER PLLC
BENTON HARBOR, MI 49022
BENTON HARBOR, MI 49022
33aNPI1528182656assigned 03/16/2007
33bProvider typeSpecialist
28Total paid$668K
24GClaims17,712
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#36 of 181
Median peer was paid$94K
This provider vs. median7.1×
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 | 2,945 | $109K | |
| 2019 | 3,116 | $122K | |
| 2020 | 2,622 | $99K | |
| 2021 | 1,972 | $105K | |
| 2022 | 1,990 | $99K | |
| 2023 | 3,063 | $82K | |
| 2024incomplete | 2,004 | $53K |
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 | 51% | 4,534 | 3,777 | $343K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 3,721 | 3,185 | $196K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.2% | 1,792 | 1,572 | $61K |
| 93923 | 2.4% | 248 | 234 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 1,741 | 1,394 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 85 | 78 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 106 | 95 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 42 | 42 | $6K |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 16 | 16 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 26 | 25 | $3K |
| 99385 | <1% | 13 | 13 | $1K | |
| 99406 | <1% | 169 | 156 | $1K |
24 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 112 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $723.51 |
| 83655 | <1% | 82 | $659.14 | |
| J0735 | Injection, clonidine hydrochloride, 1 mg | <1% | 57 | $612.48 |
| 99441 | <1% | 12 | $401.00 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 14 | $260.13 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 505 | $217.75 |
| 93000 | <1% | 24 | $142.65 | |
| 81002 | <1% | 48 | $99.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 23 | $56.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 117 | $55.57 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 14 | $15.67 |
| 3074F | <1% | 593 | $0.87 | |
| 3079F | <1% | 345 | $0.65 | |
| 3078F | <1% | 393 | $0.50 | |
| 3080F | <1% | 281 | $0.46 | |
| 3077F | <1% | 267 | $0.40 | |
| 3075F | <1% | 60 | $0.13 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,980 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 74 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 122 | $0.00 |
| 36410 | 0% | 30 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 36 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 17 | $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 officialTYNES, DON (CHIEF MEDICAL OFFICER)