Medicaid Provider Spending

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

PORT CITY PEDIATRICS

NPI: 1558413245 · NORTON SHORES, MI 49444 · Pediatrics Physician · NPI assigned 01/16/2007

$5.91M
Total Medicaid Paid
204,141
Total Claims
196,503
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOLZ, RICHARD (PRESIDENT)
NPI Enumeration Date01/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,154 $599K
2019 30,016 $706K
2020 26,820 $664K
2021 28,937 $836K
2022 33,052 $1.01M
2023 32,584 $1.14M
2024 26,578 $959K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,465 25,066 $1.66M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,756 10,707 $845K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,449 10,688 $805K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,088 6,066 $475K
90460 Immunization administration through 18 years of age via any route, first or only component 18,751 18,648 $456K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,506 3,414 $333K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,116 3,104 $269K
96110 Developmental screening, with scoring and documentation, per standardized instrument 20,737 18,420 $194K
99460 3,422 3,390 $186K
99238 Hospital discharge day management, 30 minutes or less 3,370 3,314 $141K
54150 1,679 1,657 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,362 1,317 $45K
92587 3,448 3,429 $43K
99215 Prolong outpt/office vis 292 284 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,561 1,534 $40K
92015 Determination of refractive state 3,236 3,228 $37K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 512 501 $34K
83655 3,250 3,237 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,572 2,554 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 562 554 $24K
99381 281 280 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,201 1,180 $15K
99462 628 521 $15K
96127 3,893 3,657 $11K
98966 3,133 2,346 $9K
99383 79 77 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 170 169 $6K
36416 3,959 3,941 $6K
80061 Lipid panel 530 528 $6K
85018 2,611 2,600 $5K
90472 Immunization administration, each additional vaccine (list separately) 227 226 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 288 264 $3K
G9002 Coordinated care fee, maintenance rate 390 381 $2K
99382 24 24 $2K
81002 752 737 $2K
87634 42 42 $2K
90677 953 952 $1K
90671 273 272 $981.60
96380 46 46 $921.17
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 79 74 $699.24
90651 1,424 1,418 $656.50
90620 291 291 $360.40
90686 5,648 5,603 $219.61
99051 81 77 $190.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 127 120 $103.47
90619 751 749 $82.15
90656 416 416 $22.35
90744 3,967 3,949 $1.00
90633 4,231 4,209 $0.00
90670 6,716 6,673 $0.00
90710 1,448 1,440 $0.00
90461 11,744 11,687 $0.00
90707 1,959 1,948 $0.00
90734 607 601 $0.00
90715 671 667 $0.00
90685 100 99 $0.00
90696 1,341 1,335 $0.00
90680 5,498 5,466 $0.00
90698 7,592 7,553 $0.00
90716 1,950 1,939 $0.00
94760 646 596 $0.00
90697 171 171 $0.00
90381 69 67 $0.00