Physician
Bear River Primary Care
Bear River Primary Care was paid $2.25M by Medicaid between May 2020 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoBEAR RIVER PRIMARY CARE
GAYLORD, MI 49735
GAYLORD, MI 49735
33aNPI1609427541assigned 09/23/2019
33bProvider typeFamily Medicine Physician
28Total paid$2.25M
24GClaims56,127
24DCodes billed32
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#55 of 826
Median peer was paid$98K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2020 | 5,910 | $119K | |
| 2021 | 12,369 | $451K | |
| 2022 | 10,929 | $419K | |
| 2023 | 13,006 | $626K | |
| 2024incomplete | 13,913 | $639K |
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 | 30% | 9,018 | 6,948 | $684K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 7,468 | 5,783 | $394K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 3,790 | 3,273 | $386K |
| 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 | 6.5% | 1,415 | 1,406 | $147K |
| 99385 | 4.0% | 965 | 965 | $91K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 1,409 | 1,397 | $87K |
| 99386 | 3.2% | 643 | 642 | $71K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 1,785 | 982 | $51K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 3,688 | 2,326 | $48K |
| 99406 | 2.1% | 5,433 | 4,404 | $48K | |
| 80305 | 1.5% | 4,591 | 3,406 | $34K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 431 | 429 | $32K |
20 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 572 | $24K |
| 96127 | <1% | 6,323 | $21K | |
| 99001 | <1% | 1,766 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,034 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 497 | $16K |
| S9976 | Lodging, per diem, not otherwise classified | <1% | 124 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 185 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 105 | $10K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,201 | $10K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 262 | $10K |
| 86328 | <1% | 348 | $9K | |
| 81025 | <1% | 693 | $4K | |
| 99354 | <1% | 85 | $4K | |
| 99201 | <1% | 132 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 110 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 30 | $608.11 |
| 96160 | <1% | 759 | $486.45 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 16 | $198.18 |
| 99072 | <1% | 200 | $9.00 | |
| 98967 | <1% | 49 | $0.05 |
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 officialDURANT, SANDRA (CREDENTIALING)