Professional Primary Care Services PC

Professional Primary Care Services PC was paid $57K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoPROFESSIONAL PRIMARY CARE SERVICES PC
BLOOMFIELD HILLS, MI 48302

33aNPI1588852933assigned 10/11/2007

33bProvider typeInternal Medicine Physician

28Total paid$57K

24GClaims3,198

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#432 of 816

Median peer was paid$70K

This provider vs. median0.8×

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	574	$12K
2019	307	$7K
2020	130	$4K
2021	397	$6K
2022	774	$5K
2023	757	$13K
2024incomplete	259	$10K

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	65%	608	505	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	337	304	$17K
99308	Subsequent nursing facility care, per day, straightforward	2.5%	33	24	$1K
99222	Initial hospital care, per day, moderate complexity	2.1%	35	28	$1K
3079F		<1%	305	260	$0.39
3074F		<1%	42	40	$0.05
1159F		<1%	226	194	$0.04
1160F		<1%	226	194	$0.04
3008F		0%	279	209	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	136	117	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	161	149	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	482	426	$0.00

5 more codes

G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	132	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	81	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	83	$0.00
3077F		0%	18	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	14	$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 officialKANMANTHA REDDY, JAYAKAR REDDY (PRESIDENT)