Physician
Southgate Medical Group, PLLC
Southgate Medical Group, PLLC was paid $981K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoSOUTHGATE MEDICAL GROUP, PLLC
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1619034071assigned 01/03/2007
33bProvider typeInterventional Cardiology Physician
28Total paid$981K
24GClaims46,805
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Michigan
Rank by total paid#4 of 14
Median peer was paid$172K
This provider vs. median5.7×
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 | 2,016 | $87K | |
| 2019 | 3,049 | $70K | |
| 2020 | 3,467 | $90K | |
| 2021 | 5,301 | $127K | |
| 2022 | 7,254 | $179K | |
| 2023 | 13,477 | $237K | |
| 2024incomplete | 12,241 | $191K |
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 | 54% | 5,973 | 5,529 | $531K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 5,088 | 4,806 | $319K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 1,148 | 1,029 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 338 | 295 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 1,243 | 1,098 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 438 | 426 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 321 | 316 | $4K |
| 93000 | <1% | 367 | 362 | $3K | |
| 90688 | <1% | 159 | 158 | $3K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 257 | 253 | $2K |
| 99406 | <1% | 253 | 242 | $2K | |
| 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% | 15 | 14 | $2K |
45 more codes
| 96127 | <1% | 615 | $2K | |
| 90756 | <1% | 67 | $2K | |
| 93040 | <1% | 223 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 81002 | <1% | 475 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 596 | $963.38 |
| 94010 | <1% | 56 | $890.37 | |
| 82043 | <1% | 169 | $792.06 | |
| 80305 | <1% | 58 | $412.00 | |
| 90656 | <1% | 32 | $396.67 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $294.66 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 233 | $271.65 |
| 90658 | <1% | 17 | $206.97 | |
| 96160 | <1% | 39 | $91.81 | |
| 82570 | <1% | 31 | $54.40 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,495 | $2.70 |
| 1160F | <1% | 62 | $0.21 | |
| 1159F | <1% | 63 | $0.21 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 3,949 | $0.13 |
| 3078F | <1% | 3,335 | $0.07 | |
| 3074F | <1% | 4,955 | $0.07 | |
| 3077F | <1% | 1,350 | $0.01 | |
| 3079F | <1% | 2,758 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 473 | $0.00 |
| 1100F | 0% | 355 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 26 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 84 | $0.00 |
| 3288F | 0% | 155 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 172 | $0.00 |
| 3028F | 0% | 60 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 79 | $0.00 |
| 3080F | 0% | 1,499 | $0.00 | |
| 3075F | 0% | 1,126 | $0.00 | |
| 1125F | 0% | 1,873 | $0.00 | |
| 1126F | 0% | 882 | $0.00 | |
| 1101F | 0% | 2,039 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 348 | $0.00 |
| 1111F | 0% | 108 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 59 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 26 | $0.00 |
| 3008F | 0% | 134 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| 2010F | 0% | 64 | $0.00 | |
| 2000F | 0% | 16 | $0.00 | |
| 1036F | 0% | 12 | $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 officialNESHEWAT, MICHAEL (PRESIDENT)