NP / PA
Seniors Wellness Group, P.C.
Seniors Wellness Group, P.C. was paid $966K by Medicaid between Jan 2018 and Dec 2023, across 31 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 29% of everything it billed.
33Billing provider infoSENIORS WELLNESS GROUP, P.C.
ROYAL OAK, MI 48067
ROYAL OAK, MI 48067
33aNPI1568419240assigned 05/28/2006
33bProvider typePhysician Assistant
28Total paid$966K
24GClaims120,683
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Physician Assistant providers in Michigan
Rank by total paid#17 of 80
Median peer was paid$36K
This provider vs. median27×
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 | 9,977 | $106K | |
| 2019 | 12,887 | $215K | |
| 2020 | 12,051 | $153K | |
| 2021 | 16,245 | $159K | |
| 2022 | 29,782 | $149K | |
| 2023 | 39,741 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 29% | 19,674 | 12,398 | $284K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 28% | 15,636 | 11,968 | $273K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 19% | 8,720 | 5,492 | $182K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 12% | 9,139 | 7,749 | $118K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 2,654 | 1,714 | $53K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 764 | 555 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 893 | 676 | $18K |
| 99306 | Prolong nursin fac eval 15m | <1% | 71 | 71 | $7K |
| 99307 | <1% | 593 | 526 | $5K | |
| 99305 | <1% | 36 | 36 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 12 | 12 | $987.14 |
| 99358 | Prolong nursin fac eval 15m | <1% | 33 | 16 | $207.75 |
19 more codes
| 90785 | <1% | 21 | $34.08 | |
| G9916 | Functional status performed once in the last 12 months | 0% | 5,510 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 9,838 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 3,964 | $0.00 |
| G9920 | Screening performed and negative | 0% | 2,733 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 4,871 | $0.00 |
| G9923 | Safety concerns screen provided and negative | 0% | 6,988 | $0.00 |
| G9917 | Documentation of advanced stage dementia and caregiver knowledge is limited | 0% | 5,053 | $0.00 |
| 1124F | 0% | 141 | $0.00 | |
| 4322F | 0% | 745 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 869 | $0.00 |
| G9989 | Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) | 0% | 127 | $0.00 |
| G8535 | Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status | 0% | 1,426 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 5,206 | $0.00 |
| G9922 | Safety concerns screen provided and if positive then documented mitigation recommendations | 0% | 1,581 | $0.00 |
| 1123F | 0% | 11,659 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 410 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 657 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 659 | $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 officialKOTLARZ, GREGORY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Seniors Wellness Group of Michigan, P.C. | Royal Oak, MI | $1.39M |
| Sierra Behavioral Services, P.L.C. | Royal Oak, MI | $129K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.