Physician
Degara Garden City App, PLLC
Degara Garden City App, PLLC was paid $336K by Medicaid between Jan 2018 and Apr 2018, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoDEGARA GARDEN CITY APP, PLLC
GARDEN CITY, MI 48135
GARDEN CITY, MI 48135
33aNPI1548704257assigned 12/14/2016
33bProvider typeHospitalist Physician
28Total paid$336K
24GClaims6,112
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Hospitalist Physician providers in Michigan
Rank by total paid#9 of 33
Median peer was paid$22K
This provider vs. median16×
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 | 6,112 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 2,784 | 2,555 | $149K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 26% | 1,181 | 1,086 | $88K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 1,710 | 1,583 | $72K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 6.7% | 191 | 180 | $22K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 89 | 86 | $3K |
| 12001 | <1% | 27 | 27 | $679.32 | |
| 12011 | <1% | 13 | 13 | $406.90 | |
| 99053 | 0% | 117 | 97 | $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 officialSOMERBY, CHARLES (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Degara App HM, PLLC | Lansing, MI | $3.23M |
| App of Arkansas Ed PLLC | Helena, AR | $747K |
| App of South Carolina HM PLLC | Hartsville, SC | $362K |
| App of Ohio HM PLLC | La Porte, IN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.