Physician
Town Pediatric Clinic PLLC
Town Pediatric Clinic PLLC was paid $3.07M by Medicaid between Jan 2018 and Apr 2022, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoTOWN PEDIATRIC CLINIC PLLC
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1548551732assigned 04/22/2011
33bProvider typePediatrics Physician
28Total paid$3.07M
24GClaims128,873
24DCodes billed54
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#44 of 349
Median peer was paid$321K
This provider vs. median9.5×
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 | 36,047 | $843K | |
| 2019 | 35,073 | $846K | |
| 2020 | 27,042 | $571K | |
| 2021 | 25,284 | $644K | |
| 2022 | 5,427 | $162K |
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 | 47% | 25,649 | 21,977 | $1.43M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 5,447 | 5,356 | $406K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 4,148 | 4,045 | $300K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 2,941 | 2,805 | $192K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 9,367 | 9,059 | $158K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 1,729 | 1,694 | $136K |
| 92552 | 2.6% | 4,586 | 4,474 | $81K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 2,465 | 2,359 | $76K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 1,081 | 1,074 | $72K |
| 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 | 1.6% | 573 | 498 | $50K |
| 99381 | 1.3% | 466 | 463 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,819 | 2,721 | $26K |
42 more codes
| 99442 | <1% | 287 | $15K | |
| 96127 | <1% | 5,187 | $15K | |
| 90649 | <1% | 789 | $12K | |
| 99050 | <1% | 1,620 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,247 | $8K |
| 90658 | <1% | 3,273 | $5K | |
| 81002 | <1% | 4,308 | $5K | |
| 99406 | <1% | 1,922 | $5K | |
| 99383 | <1% | 53 | $5K | |
| 97802 | <1% | 11,959 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 481 | $4K |
| 99188 | <1% | 475 | $3K | |
| 36416 | <1% | 882 | $2K | |
| 85018 | <1% | 1,517 | $2K | |
| 99495 | <1% | 12 | $1K | |
| 99000 | <1% | 934 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $672.00 |
| 86580 | <1% | 139 | $581.88 | |
| 90670 | <1% | 2,278 | $500.00 | |
| 69210 | <1% | 14 | $330.81 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $319.12 |
| 36415 | Collection of venous blood by venipuncture | <1% | 92 | $104.46 |
| 90657 | <1% | 658 | $72.24 | |
| 90461 | <1% | 4,349 | $53.00 | |
| 90716 | <1% | 1,439 | $36.40 | |
| 99173 | <1% | 4,683 | $26.83 | |
| 90707 | <1% | 1,402 | $18.20 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 34 | $16.00 |
| 93770 | <1% | 8,644 | $8.00 | |
| 90723 | 0% | 1,607 | $0.00 | |
| 90696 | 0% | 621 | $0.00 | |
| 90680 | 0% | 1,517 | $0.00 | |
| 90647 | 0% | 2,263 | $0.00 | |
| 99441 | 0% | 28 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 43 | $0.00 |
| 90660 | 0% | 30 | $0.00 | |
| 90700 | 0% | 609 | $0.00 | |
| 90734 | 0% | 514 | $0.00 | |
| 90715 | 0% | 192 | $0.00 | |
| 90633 | 0% | 1,399 | $0.00 | |
| 90621 | 0% | 31 | $0.00 | |
| 90713 | 0% | 17 | $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 officialMIKHAIL, BESMA (PRESIDENT)