Envision Medical Group PLLC
Envision Medical Group PLLC was paid $1.77M by Medicaid between Jan 2018 and Nov 2022, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoENVISION MEDICAL GROUP PLLC
NORTHVILLE, MI 48167
NORTHVILLE, MI 48167
33aNPI1578891750assigned 11/25/2009
33bProvider typeRegistered Dietitian
28Total paid$1.77M
24GClaims105,992
24DCodes billed88
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Registered Dietitian providers in Michigan
Rank by total paid#1 of 13
Median peer was paid$24K
This provider vs. median74×
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 | 24,079 | $297K | |
| 2019 | 21,499 | $284K | |
| 2020 | 21,606 | $347K | |
| 2021 | 23,409 | $531K | |
| 2022 | 15,399 | $313K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 9,665 | 8,756 | $726K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 6,811 | 6,182 | $366K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.4% | 3,488 | 1,051 | $131K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.2% | 994 | 983 | $93K |
| 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 | 4.1% | 907 | 879 | $73K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 712 | 705 | $59K |
| 99223 | Prolong inpt eval add15 m | 2.7% | 453 | 437 | $48K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 5,422 | 5,213 | $35K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 588 | 560 | $33K |
| 80053 | Comprehensive metabolic panel | 1.8% | 3,569 | 3,477 | $31K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,086 | 1,082 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 270 | 147 | $14K |
76 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 5,237 | $12K |
| 85651 | <1% | 3,420 | $12K | |
| 93000 | <1% | 1,270 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,371 | $11K |
| 99406 | <1% | 1,300 | $10K | |
| 90688 | <1% | 582 | $9K | |
| 86769 | <1% | 339 | $8K | |
| 81000 | <1% | 2,299 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 101 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 128 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 739 | $6K |
| 84439 | <1% | 782 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 705 | $6K |
| 99000 | <1% | 1,404 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 117 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 173 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 102 | $4K |
| 81002 | <1% | 1,387 | $3K | |
| 96127 | <1% | 778 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 50 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 90686 | <1% | 88 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 53 | $1K |
| 83735 | <1% | 228 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 73 | $825.70 |
| 99441 | <1% | 26 | $774.25 | |
| 82043 | <1% | 112 | $538.98 | |
| 80061 | Lipid panel | <1% | 53 | $517.60 |
| 82570 | <1% | 112 | $483.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $397.46 |
| 92551 | <1% | 50 | $356.61 | |
| 94060 | <1% | 12 | $349.45 | |
| 99442 | <1% | 21 | $278.88 | |
| 96160 | <1% | 155 | $257.39 | |
| 80305 | <1% | 24 | $210.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 16 | $156.88 |
| 99051 | <1% | 906 | $114.76 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 27 | $42.24 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $37.74 |
| G0008 | Administration of influenza virus vaccine | <1% | 47 | $21.56 |
| 99001 | <1% | 12 | $9.00 | |
| 1159F | <1% | 2,564 | $1.06 | |
| 1160F | <1% | 2,015 | $1.06 | |
| 3008F | <1% | 2,268 | $0.07 | |
| 3079F | <1% | 3,197 | $0.06 | |
| 3074F | <1% | 6,479 | $0.04 | |
| 3078F | <1% | 5,527 | $0.03 | |
| 1034F | <1% | 391 | $0.03 | |
| 3077F | <1% | 1,346 | $0.02 | |
| 3075F | <1% | 1,846 | $0.02 | |
| 99173 | 0% | 36 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,223 | $0.00 |
| 4004F | 0% | 196 | $0.00 | |
| 3288F | 0% | 45 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,175 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 158 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 54 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 172 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 31 | $0.00 |
| 3725F | 0% | 641 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 1003F | 0% | 114 | $0.00 | |
| 1033F | 0% | 50 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 26 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,008 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,315 | $0.00 |
| 1036F | 0% | 3,833 | $0.00 | |
| 3080F | 0% | 893 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,089 | $0.00 |
| 1000F | 0% | 669 | $0.00 | |
| 3044F | 0% | 69 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 62 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 1125F | 0% | 39 | $0.00 | |
| 1126F | 0% | 32 | $0.00 | |
| 1111F | 0% | 67 | $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 officialWAYNE, MICHAEL (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Envision Medical Group PLLC | South Lyon, MI | $149K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.