Clinic
Yale Family Care PLLC
Yale Family Care PLLC was paid $413K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoYALE FAMILY CARE PLLC
YALE, MI 48097
YALE, MI 48097
33aNPI1538310495assigned 10/08/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$413K
24GClaims10,029
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#36 of 113
Median peer was paid$164K
This provider vs. median2.5×
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
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 | 2,543 | $92K | |
| 2019 | 2,089 | $69K | |
| 2020 | 1,287 | $47K | |
| 2021 | 1,170 | $57K | |
| 2022 | 1,245 | $63K | |
| 2023 | 995 | $50K | |
| 2024incomplete | 700 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 78% | 5,785 | 5,307 | $322K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 453 | 452 | $42K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.4% | 333 | 333 | $26K |
| 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 | 2.7% | 149 | 142 | $11K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 2,008 | 1,949 | $6K |
| 99407 | <1% | 100 | 98 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 16 | $1K |
| 99406 | <1% | 184 | 178 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | 25 | $962.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 50 | $329.00 |
| 90674 | <1% | 18 | 18 | $280.00 | |
| 99051 | <1% | 51 | 48 | $230.00 |
12 more codes
| 96127 | <1% | 15 | $41.58 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $23.97 |
| 4000F | 0% | 80 | $0.00 | |
| 3008F | 0% | 224 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $0.00 |
| 1036F | 0% | 42 | $0.00 | |
| 1034F | 0% | 117 | $0.00 | |
| 3725F | 0% | 213 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 37 | $0.00 |
| 3015F | 0% | 24 | $0.00 | |
| 1159F | 0% | 39 | $0.00 | |
| 1160F | 0% | 36 | $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 officialDOSHI, SEEMA (PHYSICIAN)