Macomb Infectious Disease Specialists PLLC

Macomb Infectious Disease Specialists PLLC was paid $111K by Medicaid between Feb 2018 and Jun 2021, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 44% of everything it billed.

33Billing provider infoMACOMB INFECTIOUS DISEASE SPECIALISTS PLLC
STERLING HEIGHTS, MI 48314

33aNPI1598900904assigned 12/14/2008

33bProvider typeInfectious Disease Physician

28Total paid$111K

24GClaims1,739

24DCodes billed3

24AFirst – last monthFeb 2018 – Jun 2021

Compared with peers

Next to other Infectious Disease Physician providers in Michigan

Rank by total paid#33 of 43

Median peer was paid$278K

This provider vs. median0.4×

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	388	$28K
2019	452	$26K
2020	606	$37K
2021	293	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	44%	440	432	$49K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	602	262	$34K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	25%	697	328	$28K

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 officialREDONDO, VICENTE (PRESIDENT)