Macomb Emergency Physicians PLLC

Macomb Emergency Physicians PLLC was paid $8.45M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoMACOMB EMERGENCY PHYSICIANS PLLC
MOUNT CLEMENS, MI 48043

33aNPI1609235217assigned 02/11/2016

33bProvider typeEmergency Medicine Physician

28Total paid$8.45M

24GClaims121,514

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#16 of 248

Median peer was paid$57K

This provider vs. median149×

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	21,315	$1.28M
2019	19,413	$1.20M
2020	15,979	$1.11M
2021	16,621	$1.24M
2022	17,614	$1.29M
2023	16,483	$1.22M
2024incomplete	14,089	$1.11M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	45%	47,254	42,254	$3.78M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	39,231	36,845	$2.44M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	22,189	20,864	$1.30M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.3%	2,966	2,873	$367K
99220		3.2%	2,690	2,343	$269K
99217		1.1%	2,389	2,067	$93K
99236	Prolong inpt eval add15 m	1.0%	715	684	$87K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,129	1,106	$61K
99218		<1%	204	195	$11K
31500		<1%	113	110	$9K
12001		<1%	284	276	$7K
99224		<1%	995	608	$5K

12 more codes

76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	318	$5K
12011		<1%	124	$4K
10061		<1%	40	$4K
12002		<1%	91	$3K
93308		<1%	205	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	129	$2K
99406		<1%	247	$2K
76857		<1%	73	$1K
76830	Ultrasound, transvaginal	<1%	44	$843.07
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	29	$547.79
93926		<1%	31	$456.60
93970		<1%	24	$273.50

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 officialLARKIN, JAMES (PRESIDENT)