Physician
Macomb Internal Medicine PC
Macomb Internal Medicine PC was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 40% of everything it billed.
33Billing provider infoMACOMB INTERNAL MEDICINE PC
CLINTON TWP, MI 48038
CLINTON TWP, MI 48038
33aNPI1639266885assigned 10/09/2006
33bProvider typeNephrology Physician
28Total paid$1.03M
24GClaims19,555
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Michigan
Rank by total paid#14 of 51
Median peer was paid$191K
This provider vs. median5.4×
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 | 2,615 | $137K | |
| 2019 | 2,925 | $146K | |
| 2020 | 2,878 | $145K | |
| 2021 | 3,115 | $141K | |
| 2022 | 2,129 | $108K | |
| 2023 | 3,075 | $179K | |
| 2024incomplete | 2,818 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 40% | 9,974 | 2,515 | $409K |
| 99223 | Prolong inpt eval add15 m | 23% | 2,288 | 2,035 | $241K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 1,741 | 789 | $110K |
| 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 | 10% | 1,427 | 1,374 | $104K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.0% | 669 | 608 | $51K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.6% | 772 | 733 | $47K |
| 99220 | 2.7% | 287 | 277 | $28K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 357 | 342 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 377 | 356 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 954 | 884 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | 61 | $562.60 |
| 90686 | <1% | 34 | 31 | $390.10 |
7 more codes
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 officialGUNST, MARY (OFFICE MANAGER)