Physician
Clawson Medical Center PLLC
Clawson Medical Center PLLC was paid $523K by Medicaid between Jan 2018 and Aug 2021, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCLAWSON MEDICAL CENTER PLLC
CLAWSON, MI 48017
CLAWSON, MI 48017
33aNPI1548557978assigned 07/06/2011
33bProvider typeFamily Medicine Physician
28Total paid$523K
24GClaims27,461
24DCodes billed46
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#208 of 826
Median peer was paid$98K
This provider vs. median5.4×
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 | 10,977 | $232K | |
| 2019 | 7,380 | $113K | |
| 2020 | 5,755 | $96K | |
| 2021 | 3,349 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 3,290 | 2,849 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,449 | 1,287 | $77K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.7% | 862 | 718 | $35K |
| 99497 | 6.2% | 858 | 785 | $33K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.4% | 272 | 260 | $23K |
| 99406 | 2.8% | 1,934 | 1,642 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 129 | 125 | $10K |
| 80305 | 1.7% | 1,297 | 1,124 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.5% | 1,080 | 899 | $8K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.2% | 642 | 531 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.1% | 570 | 368 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 83 | 81 | $6K |
34 more codes
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 181 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,936 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 392 | $3K |
| 90715 | <1% | 116 | $3K | |
| 90688 | <1% | 164 | $3K | |
| 86703 | <1% | 224 | $2K | |
| 94060 | <1% | 68 | $2K | |
| 82947 | <1% | 1,022 | $2K | |
| 93000 | <1% | 209 | $2K | |
| 81003 | <1% | 1,558 | $2K | |
| 99385 | <1% | 13 | $1K | |
| 90674 | <1% | 62 | $1K | |
| 80306 | <1% | 88 | $1K | |
| 82962 | <1% | 493 | $1K | |
| 81025 | <1% | 138 | $858.03 | |
| 93922 | <1% | 14 | $659.77 | |
| 90714 | <1% | 25 | $519.59 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $515.14 |
| 82274 | <1% | 27 | $476.73 | |
| 82570 | <1% | 220 | $433.54 | |
| 82043 | <1% | 177 | $416.29 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 44 | $379.10 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $330.17 |
| 81002 | <1% | 240 | $299.76 | |
| 3078F | 0% | 1,362 | $0.00 | |
| 3077F | 0% | 298 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 64 | $0.00 |
| 3075F | 0% | 992 | $0.00 | |
| 3074F | 0% | 2,356 | $0.00 | |
| 3079F | 0% | 2,115 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 3080F | 0% | 237 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 72 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $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 officialZELCH, JAMES (REPRESENTATIVE)