Clinic
Southgate Medical Clinic PC
Southgate Medical Clinic PC was paid $560K by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoSOUTHGATE MEDICAL CLINIC PC
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1588702690assigned 02/01/2007
33bProvider typeClinic/Center
28Total paid$560K
24GClaims23,969
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#24 of 121
Median peer was paid$71K
This provider vs. median7.9×
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 | 4,404 | $81K | |
| 2019 | 3,592 | $76K | |
| 2020 | 2,509 | $83K | |
| 2021 | 1,654 | $82K | |
| 2022 | 2,056 | $76K | |
| 2023 | 2,170 | $95K | |
| 2024incomplete | 7,584 | $66K |
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 | 80% | 5,193 | 4,703 | $450K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.8% | 783 | 221 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 493 | 468 | $28K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 213 | 193 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 100 | 33 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 30 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | 17 | $1K |
| 96127 | <1% | 473 | 430 | $1K | |
| 90686 | <1% | 71 | 70 | $1K | |
| 82962 | <1% | 369 | 341 | $896.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | 114 | $859.09 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | 57 | $479.72 |
46 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 140 | $473.29 |
| 99490 | Ccm add 20min | <1% | 47 | $409.84 |
| 90688 | <1% | 14 | $257.84 | |
| 90656 | <1% | 13 | $220.41 | |
| 81002 | <1% | 91 | $219.57 | |
| 83037 | <1% | 28 | $216.92 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $195.86 |
| 93000 | <1% | 13 | $129.90 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 576 | $0.01 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 945 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 57 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,486 | $0.00 |
| 4004F | 0% | 501 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 569 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,675 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 172 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 238 | $0.00 |
| 3078F | 0% | 167 | $0.00 | |
| 1159F | 0% | 341 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 45 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 77 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 65 | $0.00 |
| 1160F | 0% | 304 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
| 1125F | 0% | 332 | $0.00 | |
| 1101F | 0% | 240 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 129 | $0.00 |
| 94760 | 0% | 504 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 449 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 354 | $0.00 |
| 1036F | 0% | 543 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 54 | $0.00 |
| 3017F | 0% | 91 | $0.00 | |
| 3079F | 0% | 29 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,013 | $0.00 |
| M1069 | Patient screened for future fall risk | 0% | 343 | $0.00 |
| 3008F | 0% | 334 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 125 | $0.00 |
| 3075F | 0% | 17 | $0.00 | |
| 3351F | 0% | 345 | $0.00 | |
| 1126F | 0% | 58 | $0.00 | |
| 3074F | 0% | 172 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 180 | $0.00 |
| 1034F | 0% | 107 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 27 | $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 officialDANISH, SYED (PRESIDENT)