Professional Medical Center PC

Professional Medical Center PC was paid $1.05M by Medicaid between Jan 2018 and Jul 2021, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoPROFESSIONAL MEDICAL CENTER PC
DETROIT, MI 48207

33aNPI1619985058assigned 08/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$1.05M

24GClaims72,591

24DCodes billed56

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#131 of 826

Median peer was paid$98K

This provider vs. median11×

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

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	57%	8,321	7,624	$599K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	5,574	5,267	$286K
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	2.5%	245	238	$26K
99385		1.5%	169	164	$16K
99386		1.2%	117	114	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	166	162	$12K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.1%	221	216	$11K
93000		<1%	1,065	1,024	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	297	280	$9K
90688		<1%	520	511	$8K
82962		<1%	2,885	2,616	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	76	71	$7K

44 more codes

99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	75	$7K
99205	Prolong outpt/office vis	<1%	46	$6K
90756		<1%	208	$5K
81002		<1%	1,912	$5K
96160		<1%	1,384	$4K
36415	Collection of venous blood by venipuncture	<1%	2,015	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	401	$4K
81025		<1%	586	$4K
99406		<1%	476	$3K
G0008	Administration of influenza virus vaccine	<1%	322	$2K
71046	Radiologic examination, chest; 2 views	<1%	104	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	14	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	106	$895.74
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	32	$872.57
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$715.52
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	29	$633.75
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	29	$564.48
94760		<1%	11,116	$475.95
72100		<1%	13	$240.22
92081		<1%	18	$225.84
90658		<1%	14	$164.19
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	336	$85.00
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	12	$42.72
97802		<1%	12	$30.00
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,570	$30.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	32	$15.00
3008F		0%	8,800	$0.00
3074F		0%	5,856	$0.00
3080F		0%	2,603	$0.00
3075F		0%	2,276	$0.00
1030F		0%	168	$0.00
3079F		0%	3,825	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	610	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	34	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	16	$0.00
2000F		0%	253	$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)	0%	14	$0.00
1170F		0%	13	$0.00
1101F		0%	17	$0.00
3077F		0%	2,630	$0.00
3078F		0%	4,292	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	144	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	450	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	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 officialKOLE-JAMES, AUGUSTINE (PRESIDENT)