Physician
Silver Pine Medical Group PLC
Silver Pine Medical Group PLC was paid $94K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoSILVER PINE MEDICAL GROUP PLC
STERLING HEIGHTS, MI 48313
STERLING HEIGHTS, MI 48313
33aNPI1639105695assigned 06/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$94K
24GClaims3,747
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#419 of 826
Median peer was paid$98K
This provider vs. median1.0×
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 | 130 | $4K | |
| 2019 | 175 | $5K | |
| 2020 | 564 | $20K | |
| 2021 | 532 | $20K | |
| 2022 | 884 | $18K | |
| 2023 | 815 | $16K | |
| 2024incomplete | 647 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 1,918 | 1,725 | $63K |
| 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 | 33% | 752 | 720 | $31K |
| 93000 | <1% | 15 | 15 | $134.25 | |
| 81002 | <1% | 51 | 51 | $85.33 | |
| 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% | 16 | 12 | $50.25 |
| 2014F | 0% | 63 | 62 | $0.00 | |
| 3288F | 0% | 18 | 18 | $0.00 | |
| 3078F | 0% | 13 | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 168 | 163 | $0.00 |
| 1036F | 0% | 717 | 685 | $0.00 | |
| 1101F | 0% | 16 | 16 | $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 officialTANGALOS, THEODORE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Stony Creek Urgent Care PLLC | Shelby Township, MI | $16K |
| Saint Clair Shores Prompt Care PLLC | Saint Clair Shores, MI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.