S.M. Kaura M.D., PLLC
S.M. Kaura M.D., PLLC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoS.M. KAURA M.D., PLLC
ALLEN PARK, MI 48101
ALLEN PARK, MI 48101
33aNPI1639345200assigned 05/05/2008
33bProvider typeContractor
28Total paid$1.46M
24GClaims126,425
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Contractor providers in Michigan
Rank by total paid#6 of 11
Median peer was paid$1.46M
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 | 27,684 | $164K | |
| 2019 | 27,106 | $169K | |
| 2020 | 17,283 | $193K | |
| 2021 | 13,829 | $228K | |
| 2022 | 11,731 | $242K | |
| 2023 | 16,243 | $273K | |
| 2024incomplete | 12,549 | $186K |
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 | 44% | 7,162 | 6,880 | $638K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 7,606 | 7,237 | $470K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.8% | 885 | 884 | $85K |
| 99401 | 4.2% | 2,556 | 2,399 | $61K | |
| 99442 | 3.9% | 733 | 692 | $56K | |
| 99407 | 2.8% | 2,630 | 2,544 | $41K | |
| 99443 | 1.3% | 180 | 177 | $20K | |
| 92551 | <1% | 1,976 | 1,969 | $14K | |
| 90674 | <1% | 402 | 402 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 128 | 128 | $11K |
| 99406 | <1% | 884 | 838 | $8K | |
| G0008 | Administration of influenza virus vaccine | <1% | 735 | 735 | $7K |
54 more codes
| 96127 | <1% | 2,264 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,835 | $6K |
| 90756 | <1% | 177 | $5K | |
| 94060 | <1% | 136 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 372 | $4K |
| 90661 | <1% | 69 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $2K |
| 99385 | <1% | 14 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 89 | $1K |
| G9276 | Documentation that patient is a current tobacco user | 0% | 891 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,148 | $0.00 |
| 99173 | 0% | 756 | $0.00 | |
| 4013F | 0% | 1,870 | $0.00 | |
| 4004F | 0% | 1,238 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 317 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15,067 | $0.00 |
| 4274F | 0% | 1,213 | $0.00 | |
| 3078F | 0% | 3,344 | $0.00 | |
| 3023F | 0% | 53 | $0.00 | |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 390 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,768 | $0.00 |
| 3016F | 0% | 9,306 | $0.00 | |
| 3077F | 0% | 825 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 684 | $0.00 |
| 4025F | 0% | 1,599 | $0.00 | |
| 4040F | 0% | 353 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 55 | $0.00 |
| 3288F | 0% | 41 | $0.00 | |
| 1090F | 0% | 121 | $0.00 | |
| 3050F | 0% | 43 | $0.00 | |
| 3074F | 0% | 5,898 | $0.00 | |
| 3075F | 0% | 2,108 | $0.00 | |
| 3079F | 0% | 4,758 | $0.00 | |
| 3008F | 0% | 9,428 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 4,175 | $0.00 |
| 3011F | 0% | 1,059 | $0.00 | |
| 4008F | 0% | 872 | $0.00 | |
| 1036F | 0% | 3,026 | $0.00 | |
| 3048F | 0% | 111 | $0.00 | |
| 4086F | 0% | 1,545 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 323 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 2,584 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 861 | $0.00 |
| 3049F | 0% | 68 | $0.00 | |
| 4010F | 0% | 1,547 | $0.00 | |
| 2000F | 0% | 9,783 | $0.00 | |
| 3044F | 0% | 477 | $0.00 | |
| 1034F | 0% | 1,935 | $0.00 | |
| 3080F | 0% | 791 | $0.00 | |
| 1157F | 0% | 38 | $0.00 | |
| 1101F | 0% | 38 | $0.00 | |
| 1125F | 0% | 18 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 12 | $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 officialKAURA, SURINDER (SOLE PROPRIETER)