Clinic
Midwest Internal Medicine PLLC
Midwest Internal Medicine PLLC was paid $755K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoMIDWEST INTERNAL MEDICINE PLLC
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
33aNPI1619019049assigned 02/13/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$755K
24GClaims24,377
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#34 of 104
Median peer was paid$181K
This provider vs. median4.2×
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 | 5,835 | $174K | |
| 2019 | 4,774 | $136K | |
| 2020 | 4,873 | $118K | |
| 2021 | 3,931 | $114K | |
| 2022 | 2,016 | $96K | |
| 2023 | 1,572 | $67K | |
| 2024incomplete | 1,376 | $49K |
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 | 74% | 10,413 | 9,561 | $560K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,108 | 2,893 | $114K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.8% | 1,690 | 1,648 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 186 | 184 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 644 | 262 | $9K |
| 99304 | <1% | 201 | 192 | $6K | |
| 93000 | <1% | 641 | 618 | $6K | |
| 99305 | <1% | 97 | 89 | $5K | |
| 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 | <1% | 30 | 30 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 68 | 58 | $2K |
| 99316 | <1% | 48 | 48 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 34 | 30 | $2K |
28 more codes
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 55 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 34 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | $527.04 |
| 90656 | <1% | 15 | $261.04 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $71.83 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 229 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,896 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 630 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 324 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 560 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 26 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 34 | $0.00 |
| 99497 | 0% | 48 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 58 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 886 | $0.00 |
| 1036F | 0% | 763 | $0.00 | |
| 3017F | 0% | 105 | $0.00 | |
| 99457 | 0% | 121 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 30 | $0.00 |
| 99458 | 0% | 21 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 63 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 44 | $0.00 |
| 99350 | Prolong home eval add 15m | 0% | 15 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 87 | $0.00 |
| 99454 | 0% | 53 | $0.00 | |
| 1123F | 0% | 15 | $0.00 | |
| 1111F | 0% | 15 | $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 officialONG-VELOSO, KATRINA (ADMINISTRATOR)