Physician
Mclaren Port Huron
Mclaren Port Huron was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoMCLAREN PORT HURON
PORT HURON, MI 48060
PORT HURON, MI 48060
33aNPI1619355930assigned 05/07/2015
33bProvider typeFamily Medicine Physician
28Total paid$2.34M
24GClaims52,366
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#52 of 826
Median peer was paid$98K
This provider vs. median24×
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 | 5,996 | $221K | |
| 2019 | 7,148 | $281K | |
| 2020 | 7,142 | $293K | |
| 2021 | 8,042 | $372K | |
| 2022 | 8,418 | $409K | |
| 2023 | 8,403 | $416K | |
| 2024incomplete | 7,217 | $343K |
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 | 20% | 9,043 | 8,449 | $478K |
| 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% | 10,175 | 9,288 | $407K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 5,910 | 1,889 | $324K |
| 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 | 11% | 3,382 | 3,338 | $255K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.4% | 2,905 | 2,664 | $195K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.3% | 4,486 | 2,384 | $170K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 2,635 | 2,620 | $135K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 1,922 | 1,884 | $77K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 736 | 655 | $73K |
| 99460 | 2.6% | 1,121 | 1,096 | $60K | |
| 20611 | 1.2% | 780 | 674 | $28K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 209 | 33 | $18K |
37 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 851 | $15K |
| 99221 | <1% | 281 | $13K | |
| 99477 | <1% | 41 | $12K | |
| 94060 | <1% | 1,530 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 419 | $8K |
| 99284 | Emergency room visit (serious) | <1% | 102 | $6K |
| 73562 | <1% | 774 | $5K | |
| 94726 | <1% | 783 | $5K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 45 | $5K |
| 97597 | <1% | 329 | $5K | |
| 99462 | <1% | 183 | $4K | |
| 99283 | Emergency room visit (moderate) | <1% | 113 | $4K |
| 94729 | <1% | 768 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 930 | $3K |
| 73030 | <1% | 408 | $3K | |
| 72170 | <1% | 227 | $1K | |
| 72110 | <1% | 107 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 14 | $978.68 |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | $969.85 |
| 72100 | <1% | 127 | $914.58 | |
| 95816 | <1% | 29 | $900.56 | |
| 73100 | <1% | 133 | $874.89 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $867.75 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 175 | $707.75 |
| 99218 | <1% | 13 | $672.90 | |
| 99217 | <1% | 15 | $611.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | $474.12 |
| 90686 | <1% | 26 | $437.69 | |
| 73130 | <1% | 53 | $414.36 | |
| 73110 | <1% | 62 | $365.01 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 254 | $283.85 |
| 93923 | <1% | 12 | $216.20 | |
| 36620 | <1% | 13 | $204.02 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 36 | $181.78 |
| 73610 | <1% | 27 | $163.74 | |
| 96127 | <1% | 81 | $142.80 | |
| 99442 | <1% | 18 | $136.68 |
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 officialSHOLTIS, BRIDGET (VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Port Huron | Port Huron, MI | $238K |
| Mclaren Port Huron | Port Huron, MI | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.