Physician
SG Pediatrics of Lake Orion
SG Pediatrics of Lake Orion was paid $675K by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSG PEDIATRICS OF LAKE ORION
LAKE ORION, MI 48360
LAKE ORION, MI 48360
33aNPI1558518613assigned 08/20/2008
33bProvider typePediatrics Physician
28Total paid$675K
24GClaims17,687
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#142 of 349
Median peer was paid$321K
This provider vs. median2.1×
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 | 3,017 | $98K | |
| 2019 | 3,885 | $123K | |
| 2020 | 1,874 | $62K | |
| 2021 | 2,588 | $96K | |
| 2022 | 2,544 | $118K | |
| 2023 | 2,406 | $111K | |
| 2024incomplete | 1,373 | $66K |
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 | 33% | 3,710 | 3,255 | $226K |
| 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 | 31% | 2,303 | 2,056 | $208K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 896 | 879 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 782 | 720 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 2,370 | 2,297 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 428 | 420 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 202 | 197 | $8K |
| D0190 | 1.1% | 485 | 480 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 68 | 68 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 397 | 380 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 408 | 396 | $4K |
| 92551 | <1% | 479 | 479 | $3K |
29 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 109 | $3K |
| 96127 | <1% | 739 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 92558 | <1% | 164 | $599.54 | |
| 83655 | <1% | 41 | $502.25 | |
| 99177 | <1% | 182 | $465.34 | |
| 99188 | <1% | 63 | $447.23 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 24 | $265.90 |
| 85018 | <1% | 71 | $104.16 | |
| 96161 | <1% | 81 | $86.71 | |
| 99051 | <1% | 12 | $55.00 | |
| 81002 | <1% | 13 | $34.85 | |
| 96160 | <1% | 15 | $8.72 | |
| G8432 | Depression screening not documented, reason not given | 0% | 186 | $0.00 |
| 90686 | 0% | 722 | $0.00 | |
| 3074F | 0% | 350 | $0.00 | |
| 90698 | 0% | 51 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 90656 | 0% | 56 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 99173 | 0% | 642 | $0.00 | |
| 90461 | 0% | 800 | $0.00 | |
| 90685 | 0% | 48 | $0.00 | |
| 90670 | 0% | 311 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 3078F | 0% | 346 | $0.00 | |
| 90633 | 0% | 37 | $0.00 | |
| 90707 | 0% | 30 | $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 officialRAO, SWARAJYALAXMI (OWNER)