Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Portage › NPI 1538119391
Physician

Southern Michigan Pain Consultants PC

Southern Michigan Pain Consultants PC was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoSOUTHERN MICHIGAN PAIN CONSULTANTS PC
PORTAGE, MI 49024
33aNPI1538119391assigned 05/11/2006
28Total paid$1.73M
24GClaims61,249
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in Michigan

Rank by total paid#5 of 23
Median peer was paid$312K
This provider vs. median5.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,473$204K
20199,217$212K
202010,037$263K
202113,033$310K
20229,634$333K
20237,197$251K
2024incomplete3,658$157K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 8,009 7,666 $311K
62323 14% 3,272 3,193 $248K
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 11% 3,838 3,626 $188K
64493 7.6% 1,833 1,769 $132K
64483 6.7% 1,903 1,863 $116K
27096 5.5% 2,009 1,977 $95K
62321 5.0% 1,213 1,196 $87K
64635 4.7% 547 534 $80K
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 4.0% 1,097 1,092 $69K
64494 3.6% 1,826 1,744 $62K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 756 746 $43K
64636 2.4% 529 471 $41K
27 more codes
64495 2.1% 1,223 $37K
77002 1.9% 1,338 $34K
J1030 Injection, methylprednisolone acetate, 40 mg 1.8% 6,183 $31K
20553 1.8% 1,715 $31K
20610 1.6% 1,654 $27K
64484 <1% 572 $16K
64490 <1% 205 $14K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,053 $14K
99152 <1% 929 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 607 $9K
64491 <1% 208 $7K
64492 <1% 147 $5K
20552 <1% 446 $5K
98927 <1% 160 $4K
64405 <1% 184 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,360 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,668 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 361 $2K
J0735 Injection, clonidine hydrochloride, 1 mg <1% 190 $1K
99442 <1% 29 $526.60
98928 <1% 14 $492.12
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg <1% 15 $268.04
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,688 $252.24
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,015 $120.16
64450 <1% 13 $79.36
99072 <1% 1,255 $39.50
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 185 $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 officialKUIPER, MATTHEW (PRESIDENT)