Southfield Pediatric Physicains
Southfield Pediatric Physicains was paid $4.48M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSOUTHFIELD PEDIATRIC PHYSICAINS
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
33aNPI1548270424assigned 08/09/2006
33bProvider typeSpecialist
28Total paid$4.48M
24GClaims154,811
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#8 of 181
Median peer was paid$94K
This provider vs. median48×
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 | 23,201 | $531K | |
| 2019 | 24,345 | $562K | |
| 2020 | 17,915 | $435K | |
| 2021 | 22,787 | $597K | |
| 2022 | 24,293 | $811K | |
| 2023 | 25,253 | $902K | |
| 2024incomplete | 17,017 | $640K |
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 | 29% | 21,059 | 19,007 | $1.30M |
| 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 | 13% | 6,428 | 6,170 | $584K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 6,138 | 6,115 | $488K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 4,946 | 4,927 | $386K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 5,279 | 5,182 | $378K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 15,436 | 15,282 | $315K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 3,525 | 3,517 | $300K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 6.6% | 2,763 | 2,689 | $295K |
| 99381 | 2.1% | 1,056 | 1,054 | $93K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 12,105 | 11,971 | $79K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,633 | 2,544 | $34K |
| 83655 | <1% | 2,740 | 2,729 | $30K |
57 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,076 | $29K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 879 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 575 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 634 | $15K |
| 99383 | <1% | 146 | $14K | |
| 81003 | <1% | 6,440 | $12K | |
| 82465 | <1% | 6,444 | $12K | |
| 96127 | <1% | 3,789 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 99 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 56 | $8K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 206 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 557 | $4K |
| 99382 | <1% | 40 | $4K | |
| 0001A | <1% | 77 | $3K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 137 | $3K |
| 0002A | <1% | 71 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 80 | $2K |
| 94664 | <1% | 431 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 0071A | <1% | 24 | $922.48 | |
| 17110 | <1% | 14 | $871.24 | |
| 87807 | <1% | 105 | $808.84 | |
| 99000 | <1% | 425 | $805.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $472.40 |
| 99441 | <1% | 12 | $420.00 | |
| 88720 | <1% | 129 | $364.98 | |
| 92567 | <1% | 45 | $349.57 | |
| 90677 | <1% | 530 | $288.66 | |
| 90621 | <1% | 766 | $269.78 | |
| 96161 | <1% | 133 | $196.52 | |
| 90461 | <1% | 6,930 | $80.00 | |
| 90686 | <1% | 2,247 | $79.16 | |
| 99172 | <1% | 8,138 | $0.04 | |
| 87110 | <1% | 845 | $0.03 | |
| 90633 | 0% | 2,484 | $0.00 | |
| 90734 | 0% | 653 | $0.00 | |
| 91300 | 0% | 142 | $0.00 | |
| 90685 | 0% | 148 | $0.00 | |
| 90670 | 0% | 3,852 | $0.00 | |
| 90710 | 0% | 842 | $0.00 | |
| 90707 | 0% | 1,081 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 99071 | 0% | 437 | $0.00 | |
| 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) | 0% | 80 | $0.00 |
| 99173 | 0% | 1,665 | $0.00 | |
| 90715 | 0% | 770 | $0.00 | |
| 90744 | 0% | 2,594 | $0.00 | |
| 90651 | 0% | 1,669 | $0.00 | |
| 90716 | 0% | 1,080 | $0.00 | |
| 90698 | 0% | 4,389 | $0.00 | |
| 90619 | 0% | 936 | $0.00 | |
| 90680 | 0% | 2,714 | $0.00 | |
| 91307 | 0% | 24 | $0.00 | |
| 94760 | 0% | 25 | $0.00 | |
| 90696 | 0% | 753 | $0.00 | |
| 90656 | 0% | 99 | $0.00 | |
| 3008F | 0% | 131 | $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 officialBLUM, GEORGE (MEDICAL DIRECTOR)