Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pro-Health Medical Midland INC

Pro-Health Medical Midland INC was paid $1.20M by Medicaid between Oct 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoPRO-HEALTH MEDICAL MIDLAND INC
MIDLAND, MI 48642
33aNPI1558840587assigned 08/10/2018
28Total paid$1.20M
24GClaims23,771
24DCodes billed25
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Michigan

Rank by total paid#58 of 239
Median peer was paid$346K
This provider vs. median3.5×

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$20K$40K2018201920202021202220232024
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
2018637$33K
20193,684$197K
20204,684$205K
20224,501$206K
20235,494$291K
2024incomplete4,771$265K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 9,829 8,935 $592K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20% 3,873 3,852 $239K
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 17% 3,362 2,895 $208K
99058 5.0% 1,095 905 $60K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.2% 381 343 $27K
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 2.2% 379 372 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.1% 445 436 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 881 873 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 89 89 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 271 258 $3K
99000 <1% 1,210 1,183 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 77 77 $2K
13 more codes
99205 Prolong outpt/office vis <1% 16 $1K
81025 <1% 347 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 285 $1K
81002 <1% 882 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 33 $203.35
87807 <1% 33 $130.20
71046 Radiologic examination, chest; 2 views <1% 15 $89.35
87276 <1% 20 $66.50
36415 Collection of venous blood by venipuncture <1% 45 $55.38
87275 <1% 20 $50.75
87400 <1% 13 $35.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 22 $0.56
99072 0% 148 $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 officialKEELER, TIMOTHY (PA)