Upper Peninsula Rehabilitation Medicine Associates P.C.

Upper Peninsula Rehabilitation Medicine Associates P.C. was paid $94K by Medicaid between Mar 2018 and Nov 2024, across 9 billing codes. Its largest line is 95886, — 29% of everything it billed.

33Billing provider infoUPPER PENINSULA REHABILITATION MEDICINE ASSOCIATES P.C.
MARQUETTE, MI 49855

33aNPI1659468064assigned 10/06/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$94K

24GClaims1,355

24DCodes billed9

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Michigan

Rank by total paid#26 of 48

Median peer was paid$102K

This provider vs. median0.9×

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	57	$4K
2019	161	$7K
2020	68	$3K
2021	202	$10K
2022	232	$17K
2023	413	$33K
2024incomplete	222	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95886		29%	288	287	$27K
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	29%	377	364	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	362	359	$15K
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	13%	124	124	$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	9.3%	135	135	$9K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.6%	13	13	$2K
99222	Initial hospital care, per day, moderate complexity	1.1%	14	13	$1K
64483		<1%	12	12	$905.46
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	30	29	$622.19

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 officialOSTOLA, LOUIS (PRESIDENT)