Physician
Gratiot Family Medicine Center PLLC
Gratiot Family Medicine Center PLLC was paid $303K by Medicaid between Jul 2018 and Apr 2020, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoGRATIOT FAMILY MEDICINE CENTER PLLC
HARPER WOODS, MI 48225
HARPER WOODS, MI 48225
33aNPI1588152581assigned 04/25/2018
33bProvider typeInternal Medicine Physician
28Total paid$303K
24GClaims9,960
24DCodes billed33
24AFirst – last monthJul 2018 – Apr 2020
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#244 of 816
Median peer was paid$70K
This provider vs. median4.3×
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 | 2,608 | $65K | |
| 2019 | 5,885 | $183K | |
| 2020 | 1,467 | $56K |
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 | 45% | 2,962 | 2,745 | $137K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12% | 461 | 457 | $36K |
| 99385 | 9.3% | 334 | 333 | $28K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.9% | 376 | 373 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 242 | 242 | $11K |
| 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 | 3.3% | 163 | 163 | $10K |
| 99384 | 2.1% | 98 | 98 | $6K | |
| 99386 | 2.0% | 56 | 55 | $6K | |
| 92552 | 1.7% | 300 | 298 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 152 | 148 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 683 | 676 | $4K |
| 99383 | 1.3% | 62 | 62 | $4K |
21 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 57 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 1,653 | $3K |
| 90674 | 1.1% | 134 | $3K | |
| 81025 | 1.0% | 503 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 196 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 191 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $1K |
| 81002 | <1% | 469 | $1K | |
| 99382 | <1% | 14 | $1K | |
| 90756 | <1% | 39 | $530.34 | |
| 82962 | <1% | 207 | $461.62 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 42 | $402.01 |
| 85018 | <1% | 192 | $394.67 | |
| 90686 | <1% | 83 | $186.25 | |
| 3078F | 0% | 25 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| 3075F | 0% | 38 | $0.00 | |
| 90651 | 0% | 30 | $0.00 | |
| 3079F | 0% | 27 | $0.00 | |
| 3074F | 0% | 72 | $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 officialDARWISH, DARWISH (PRESIDENT)