Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROFESSIONAL MEDICAL CENTER PC

NPI: 1619985058 · DETROIT, MI 48207 · Family Medicine Physician · NPI assigned 08/03/2006

$1.05M
Total Medicaid Paid
72,591
Total Claims
66,767
Beneficiaries
56
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialKOLE-JAMES, AUGUSTINE (PRESIDENT)
NPI Enumeration Date08/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,185 $356K
2019 20,650 $279K
2020 17,859 $277K
2021 7,897 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,321 7,624 $599K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,574 5,267 $286K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 245 238 $26K
99385 169 164 $16K
99386 117 114 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 166 162 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 221 216 $11K
93000 1,065 1,024 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 297 280 $9K
90688 520 511 $8K
82962 2,885 2,616 $7K
99215 Prolong outpt/office vis 76 71 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 75 70 $7K
99205 Prolong outpt/office vis 46 44 $6K
90756 208 202 $5K
81002 1,912 1,816 $5K
96160 1,384 1,299 $4K
36415 Collection of venous blood by venipuncture 2,015 1,860 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 401 397 $4K
81025 586 548 $4K
99406 476 426 $3K
G0008 Administration of influenza virus vaccine 322 314 $2K
71046 Radiologic examination, chest; 2 views 104 98 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 106 51 $895.74
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 32 32 $872.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 59 49 $715.52
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 29 27 $633.75
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 29 27 $564.48
94760 11,116 9,943 $475.95
72100 13 13 $240.22
92081 18 17 $225.84
90658 14 14 $164.19
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 336 303 $85.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12 12 $42.72
97802 12 12 $30.00
G0444 Annual depression screening, 5 to 15 minutes 1,570 1,476 $30.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 32 25 $15.00
3008F 8,800 8,019 $0.00
3074F 5,856 5,349 $0.00
3080F 2,603 2,386 $0.00
3075F 2,276 2,143 $0.00
1030F 168 157 $0.00
3079F 3,825 3,569 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 610 543 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 34 33 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 16 12 $0.00
2000F 253 223 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 14 14 $0.00
1170F 13 13 $0.00
1101F 17 16 $0.00
3077F 2,630 2,398 $0.00
3078F 4,292 3,971 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 144 132 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 450 402 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 13 $0.00