Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Pontiac › NPI 1619125788
Clinic

Oakland Physicians Medical Center, LLC

Oakland Physicians Medical Center, LLC was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 34% of everything it billed.

33Billing provider infoOAKLAND PHYSICIANS MEDICAL CENTER, LLC
PONTIAC, MI 48341
33aNPI1619125788assigned 09/03/2008
33bProvider typeRadiology Clinic/Center
28Total paid$4.62M
24GClaims194,930
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Radiology Clinic/Center providers in Michigan

Rank by total paid#1 of 7
Median peer was paid$31K
This provider vs. median151×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20189,547$784K
201912,542$546K
202010,348$366K
202112,862$489K
20228,012$305K
202325$50K
2024incomplete141,594$2.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 34% 12,612 11,074 $1.59M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5.7% 2,900 2,762 $264K
45380 Colonoscopy, flexible; with biopsy, single or multiple 5.3% 92 89 $244K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5.0% 203 201 $229K
80061 Lipid panel 3.4% 7,452 7,169 $159K
87634 2.6% 2,688 2,555 $121K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2.6% 3,078 2,758 $119K
87529 2.5% 2,768 2,610 $113K
G0378 Hospital observation service, per hour 2.3% 1,050 918 $105K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.2% 5,015 4,777 $101K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.2% 5,806 5,626 $100K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2.1% 1,824 1,766 $99K
123 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.1% 4,847 $97K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.9% 1,465 $89K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.9% 4,118 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.8% 3,103 $82K
84443 Thyroid stimulating hormone (TSH) 1.7% 7,428 $79K
87481 1.6% 2,899 $75K
87511 1.2% 2,623 $54K
80053 Comprehensive metabolic panel 1.2% 11,996 $54K
96361 Intravenous infusion, hydration; each additional hour 1.1% 1,608 $50K
83036 Hemoglobin; glycosylated (A1C) 1.0% 7,732 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 13,161 $46K
82607 <1% 5,071 $46K
87563 <1% 2,280 $45K
71046 Radiologic examination, chest; 2 views <1% 1,337 $39K
84439 <1% 4,866 $29K
82728 <1% 2,480 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,481 $22K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 251 $21K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 622 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 650 $16K
84480 <1% 1,510 $15K
82746 <1% 1,556 $15K
86803 <1% 1,579 $14K
80074 <1% 488 $14K
96375 Therapeutic injection; each additional sequential IV push <1% 868 $13K
83550 <1% 2,237 $13K
83735 <1% 2,946 $13K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,591 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 372 $12K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed <1% 224 $12K
83540 <1% 2,617 $11K
84481 <1% 1,060 $11K
84153 <1% 919 $11K
84403 <1% 505 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 131 $9K
87186 <1% 829 $9K
82043 <1% 1,997 $8K
84100 <1% 2,240 $7K
82670 <1% 372 $7K
82570 <1% 1,966 $7K
84702 <1% 648 $6K
84146 <1% 436 $6K
83001 <1% 443 $6K
84550 <1% 1,832 $6K
86696 <1% 468 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 1,204 $5K
86592 <1% 1,387 $5K
87077 <1% 965 $5K
83002 <1% 406 $5K
87340 <1% 832 $5K
87088 <1% 1,107 $5K
87070 <1% 1,276 $4K
86304 <1% 258 $4K
70450 Computed tomography, head or brain; without contrast material <1% 100 $4K
86301 <1% 242 $4K
86695 <1% 465 $4K
85651 <1% 1,316 $4K
86317 <1% 357 $3K
86141 <1% 362 $3K
81001 <1% 3,488 $3K
86704 <1% 358 $3K
86431 <1% 673 $3K
86708 <1% 319 $3K
93970 <1% 30 $2K
82550 <1% 453 $2K
83880 <1% 1,060 $2K
86480 <1% 47 $2K
85027 <1% 429 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 26 $2K
86769 <1% 150 $2K
83690 <1% 858 $2K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 33 $1K
82150 <1% 934 $1K
86038 <1% 168 $1K
86140 <1% 341 $1K
86632 <1% 149 $1K
82040 <1% 261 $862.63
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,042 $779.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,658 $733.68
84460 <1% 220 $731.66
80076 <1% 172 $730.69
84450 <1% 210 $690.59
83013 <1% 13 $626.13
80305 <1% 2,510 $547.47
82378 <1% 40 $518.01
85610 <1% 171 $436.70
81003 <1% 297 $430.81
87653 <1% 15 $391.28
87640 <1% 15 $391.28
82553 <1% 39 $326.89
80051 <1% 81 $314.10
83970 <1% 13 $301.64
73630 <1% 26 $284.58
71045 Radiologic examination, chest; single view <1% 19 $284.58
85730 <1% 67 $277.51
81025 <1% 2,134 $273.10
82248 <1% 65 $190.78
86703 <1% 83 $173.64
86762 <1% 23 $173.37
84484 <1% 1,910 $172.54
88174 <1% 17 $150.11
83615 <1% 45 $147.14
81000 <1% 1,217 $141.42
82465 <1% 51 $137.76
87400 <1% 902 $136.17
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 13 $112.16
82947 <1% 46 $110.89
84436 <1% 38 $90.48
87430 <1% 358 $79.58
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 45 $77.10
82977 <1% 17 $72.18
84520 <1% 30 $69.07
82565 <1% 15 $42.89
83605 <1% 786 $27.99
87040 <1% 15 $21.10
82948 <1% 252 $16.72
94760 <1% 1,078 $12.50
86706 <1% 14 $7.08
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 56 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 0% 220 $0.00
96376 0% 472 $0.00
85379 0% 13 $0.00
87480 0% 13 $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 officialARORA, LALIT (COO)
Same official

Other billing entities under ARORA, LALIT

Full network →
ProviderLocationPaid
PGH Medical Group PCPontiac, MI$1.69M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.