Physician
Port Huron Physicians Medical Group PC
Port Huron Physicians Medical Group PC was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPORT HURON PHYSICIANS MEDICAL GROUP PC
FORT GRATIOT, MI 48059
FORT GRATIOT, MI 48059
33aNPI1598141640assigned 07/30/2015
33bProvider typeInternal Medicine Physician
28Total paid$2.20M
24GClaims72,520
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#54 of 816
Median peer was paid$70K
This provider vs. median31×
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 | 8,187 | $343K | |
| 2019 | 6,793 | $274K | |
| 2020 | 4,597 | $180K | |
| 2021 | 7,271 | $278K | |
| 2022 | 8,107 | $355K | |
| 2023 | 20,376 | $484K | |
| 2024incomplete | 17,189 | $281K |
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 | 50% | 15,361 | 13,862 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 7,435 | 6,809 | $400K |
| 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 | 10% | 2,407 | 2,387 | $230K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.5% | 1,044 | 1,031 | $99K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 887 | 853 | $85K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 1,211 | 1,200 | $77K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 813 | 797 | $72K |
| 95251 | 1.2% | 1,460 | 1,451 | $26K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 415 | 383 | $16K |
| 82962 | <1% | 5,323 | 4,694 | $11K | |
| 95250 | <1% | 135 | 132 | $10K | |
| 99441 | <1% | 381 | 329 | $8K |
53 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,279 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 92 | $7K |
| 81002 | <1% | 2,229 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 52 | $5K |
| 99442 | <1% | 119 | $5K | |
| 90686 | <1% | 297 | $5K | |
| 99408 | <1% | 270 | $5K | |
| 88342 | <1% | 207 | $4K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 303 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 341 | $3K |
| 99406 | <1% | 300 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 71 | $2K |
| 96127 | <1% | 664 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 137 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 93000 | <1% | 172 | $1K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $1K |
| 99385 | <1% | 12 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $953.17 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | $894.81 |
| 81025 | <1% | 104 | $675.91 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $597.30 |
| 82044 | <1% | 107 | $470.19 | |
| 96160 | <1% | 441 | $392.73 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 165 | $243.09 |
| 88304 | <1% | 33 | $208.94 | |
| 3074F | <1% | 3,533 | $1.35 | |
| 3078F | <1% | 3,084 | $0.98 | |
| 3079F | <1% | 1,763 | $0.79 | |
| 3008F | <1% | 7,988 | $0.52 | |
| 3075F | <1% | 1,050 | $0.30 | |
| 3077F | <1% | 529 | $0.15 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 33 | $0.04 |
| 3044F | <1% | 393 | $0.03 | |
| 1126F | <1% | 378 | $0.02 | |
| 1036F | <1% | 2,637 | $0.01 | |
| 1034F | 0% | 1,593 | $0.00 | |
| 3061F | 0% | 170 | $0.00 | |
| 3048F | 0% | 179 | $0.00 | |
| 3060F | 0% | 119 | $0.00 | |
| 2023F | 0% | 70 | $0.00 | |
| 1125F | 0% | 224 | $0.00 | |
| 3080F | 0% | 224 | $0.00 | |
| 1035F | 0% | 76 | $0.00 | |
| 3052F | 0% | 13 | $0.00 | |
| 2028F | 0% | 371 | $0.00 | |
| 3046F | 0% | 289 | $0.00 | |
| 3725F | 0% | 288 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 61 | $0.00 |
| 1160F | 0% | 1,149 | $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% | 473 | $0.00 |
| 3051F | 0% | 41 | $0.00 | |
| 3288F | 0% | 329 | $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 officialBROWN-MCCOY, JULIE (CBO MANAGER)