Physician
BG Tricounty Neurology& Sleep Clinic PC
BG Tricounty Neurology& Sleep Clinic PC was paid $2.00M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoBG TRICOUNTY NEUROLOGY& SLEEP CLINIC PC
WARREN, MI 48093
WARREN, MI 48093
33aNPI1598802076assigned 01/31/2007
33bProvider typeSleep Medicine (Psychiatry & Neurology) Physician
28Total paid$2.00M
24GClaims30,865
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Psychiatry & Neurology) Physician providers in Michigan
Rank by total paid#1 of 5
Median peer was paid$125K
This provider vs. median16×
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 | 6,363 | $343K | |
| 2019 | 4,965 | $299K | |
| 2020 | 4,549 | $253K | |
| 2021 | 4,634 | $334K | |
| 2022 | 3,760 | $259K | |
| 2023 | 3,732 | $291K | |
| 2024incomplete | 2,862 | $216K |
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 | 37% | 11,335 | 10,783 | $747K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 13% | 760 | 753 | $259K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 2,134 | 2,083 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 4,518 | 4,400 | $194K |
| 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 | 6.6% | 1,396 | 1,386 | $132K |
| 95811 | 6.5% | 367 | 359 | $129K | |
| 95819 | 4.4% | 365 | 364 | $88K | |
| 95886 | 3.8% | 961 | 889 | $76K | |
| 99406 | 1.6% | 3,938 | 3,753 | $32K | |
| 96136 | 1.5% | 1,517 | 1,500 | $30K | |
| 99205 | Prolong outpt/office vis | 1.1% | 178 | 176 | $21K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 163 | 163 | $16K |
13 more codes
| 95816 | <1% | 85 | $16K | |
| 94375 | <1% | 577 | $13K | |
| 96102 | <1% | 382 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 989 | $3K |
| 96119 | <1% | 56 | $2K | |
| 96138 | <1% | 115 | $2K | |
| 96139 | <1% | 102 | $2K | |
| 96127 | <1% | 384 | $1K | |
| 95924 | <1% | 13 | $1K | |
| 95909 | <1% | 13 | $941.93 | |
| 95923 | <1% | 13 | $876.60 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $720.24 |
| 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% | 492 | $195.10 |
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 officialVERMA, NARAYAN (PRESIDENT)