Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Coldwater › NPI 1558541698
Physician

Coldwater Surgery PC

Coldwater Surgery PC was paid $10K by Medicaid between Jan 2018 and Jun 2018, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoCOLDWATER SURGERY PC
COLDWATER, MI 49036
33aNPI1558541698assigned 11/06/2007
33bProvider typeSurgery Physician
28Total paid$10K
24GClaims192
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Surgery Physician providers in Michigan

Rank by total paid#67 of 111
Median peer was paid$17K
This provider vs. median0.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018192$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 82% 157 129 $8K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.6% 14 12 $974.64
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 21 15 $857.01

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 officialSENNISH, JOHN (PRESIDENT)