Physician
Thornapple Valley Family Physicians PC
Thornapple Valley Family Physicians PC was paid $532K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoTHORNAPPLE VALLEY FAMILY PHYSICIANS PC
HASTINGS, MI 49058
HASTINGS, MI 49058
33aNPI1528268513assigned 07/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$532K
24GClaims11,419
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#206 of 826
Median peer was paid$98K
This provider vs. median5.4×
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 | 1,114 | $39K | |
| 2019 | 1,131 | $45K | |
| 2020 | 820 | $35K | |
| 2021 | 1,893 | $95K | |
| 2022 | 2,467 | $111K | |
| 2023 | 2,437 | $128K | |
| 2024incomplete | 1,557 | $80K |
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 | 53% | 3,197 | 2,942 | $283K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 3,043 | 2,730 | $182K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 136 | 132 | $19K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 129 | 125 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 56 | 56 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 58 | 58 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 628 | 614 | $4K |
| 90682 | <1% | 69 | 68 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | 42 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 239 | 237 | $3K |
| 90686 | <1% | 237 | 235 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | 36 | $3K |
16 more codes
| 96127 | <1% | 897 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 213 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 250 | $751.52 |
| G9001 | Coordinated care fee, initial rate | <1% | 12 | $162.20 |
| 98966 | <1% | 57 | $134.11 | |
| 36416 | <1% | 14 | $53.76 | |
| 3044F | 0% | 220 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,385 | $0.00 |
| 3700F | 0% | 113 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 17 | $0.00 |
| 97802 | 0% | 26 | $0.00 | |
| 90688 | 0% | 21 | $0.00 | |
| 99071 | 0% | 163 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 134 | $0.00 |
| 3078F | 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 officialEBAUGH, DIANE (PRESIDENT)