Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TOWN PEDIATRIC CLINIC PLLC

NPI: 1548551732 · STERLING HEIGHTS, MI 48310 · Pediatrics Physician · NPI assigned 04/22/2011

$3.07M
Total Medicaid Paid
128,873
Total Claims
122,428
Beneficiaries
54
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialMIKHAIL, BESMA (PRESIDENT)
NPI Enumeration Date04/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,047 $843K
2019 35,073 $846K
2020 27,042 $571K
2021 25,284 $644K
2022 5,427 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,649 21,977 $1.43M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,447 5,356 $406K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,148 4,045 $300K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,941 2,805 $192K
90460 Immunization administration through 18 years of age via any route, first or only component 9,367 9,059 $158K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,729 1,694 $136K
92552 4,586 4,474 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,465 2,359 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,081 1,074 $72K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 573 498 $50K
99381 466 463 $39K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,819 2,721 $26K
99442 287 280 $15K
96127 5,187 5,069 $15K
90649 789 784 $12K
99050 1,620 1,541 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,247 1,210 $8K
90658 3,273 3,218 $5K
81002 4,308 4,186 $5K
99406 1,922 1,881 $5K
99383 53 52 $5K
97802 11,959 11,442 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 481 464 $4K
99188 475 474 $3K
36416 882 858 $2K
85018 1,517 1,478 $2K
99495 12 12 $1K
99000 934 908 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $672.00
86580 139 134 $581.88
90670 2,278 2,257 $500.00
69210 14 14 $330.81
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 37 29 $319.12
36415 Collection of venous blood by venipuncture 92 88 $104.46
90657 658 644 $72.24
90461 4,349 4,270 $53.00
90716 1,439 1,422 $36.40
99173 4,683 4,554 $26.83
90707 1,402 1,383 $18.20
J0696 Injection, ceftriaxone sodium, per 250 mg 34 27 $16.00
93770 8,644 8,425 $8.00
90723 1,607 1,596 $0.00
90696 621 611 $0.00
90680 1,517 1,507 $0.00
90647 2,263 2,240 $0.00
99441 28 28 $0.00
S9451 Exercise classes, non-physician provider, per session 43 43 $0.00
90660 30 30 $0.00
90700 609 600 $0.00
90734 514 507 $0.00
90715 192 191 $0.00
90633 1,399 1,388 $0.00
90621 31 27 $0.00
90713 17 15 $0.00