Physician
PGH Medical Group PC
PGH Medical Group PC was paid $1.69M by Medicaid between Jan 2018 and Nov 2022, across 32 billing codes. Its largest line is J2315, Injection, naltrexone, depot form, 1 mg — 70% of everything it billed.
33Billing provider infoPGH MEDICAL GROUP PC
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1649799669assigned 09/11/2017
33bProvider typeAnesthesiology Physician
28Total paid$1.69M
24GClaims17,214
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Anesthesiology Physician providers in Michigan
Rank by total paid#12 of 85
Median peer was paid$103K
This provider vs. median16×
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 | 3,040 | $500K | |
| 2019 | 4,122 | $591K | |
| 2020 | 2,841 | $339K | |
| 2021 | 2,426 | $137K | |
| 2022 | 4,785 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J2315 | Injection, naltrexone, depot form, 1 mg | 70% | 1,017 | 968 | $1.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,485 | 3,782 | $189K |
| 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% | 2,673 | 2,393 | $172K |
| 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 | 3.4% | 666 | 648 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 329 | 325 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 546 | 508 | $15K |
| 80305 | <1% | 2,186 | 1,732 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 150 | 143 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,242 | 1,116 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 213 | 202 | $6K |
| 80306 | <1% | 988 | 727 | $6K | |
| 00731 | <1% | 151 | 83 | $5K |
20 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 56 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $2K |
| 99406 | <1% | 187 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | $1K |
| 00811 | <1% | 25 | $752.93 | |
| 96127 | <1% | 228 | $536.69 | |
| 81025 | <1% | 81 | $427.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 120 | $223.76 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $169.12 |
| 3080F | 0% | 76 | $0.00 | |
| 3079F | 0% | 177 | $0.00 | |
| 3008F | 0% | 551 | $0.00 | |
| 3074F | 0% | 329 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 129 | $0.00 |
| 3075F | 0% | 56 | $0.00 | |
| 3078F | 0% | 318 | $0.00 | |
| 4004F | 0% | 16 | $0.00 | |
| 98960 | 0% | 22 | $0.00 | |
| 3077F | 0% | 96 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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 officialARORA, LALIT (OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Oakland Physicians Medical Center, LLC | Pontiac, MI | $4.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.