Marko Habekovic MD, PLLC

Marko Habekovic MD, PLLC was paid $216K by Medicaid between Nov 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 64% of everything it billed.

33Billing provider infoMARKO HABEKOVIC MD, PLLC
GRAND RAPIDS, MI 49546

33aNPI1548756141assigned 07/06/2018

33bProvider typeOphthalmology Physician

28Total paid$216K

24GClaims5,323

24DCodes billed11

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Michigan

Rank by total paid#37 of 106

Median peer was paid$51K

This provider vs. median4.2×

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	92	$2K
2019	957	$31K
2020	731	$29K
2021	1,016	$40K
2022	1,121	$44K
2023	926	$41K
2024incomplete	480	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	64%	2,610	2,580	$138K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	19%	589	589	$42K
92015	Determination of refractive state	6.9%	1,564	1,535	$15K
99244	Office or other outpatient consultation, moderate to high complexity	2.0%	46	46	$4K
92083		2.0%	141	140	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.8%	65	65	$4K
92250		1.3%	154	152	$3K
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	1.2%	44	44	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	30	29	$1K
92133		<1%	67	65	$1K
99243		<1%	13	13	$820.08

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 officialHABEKOVIC, MARKO (MD)