Physician
Promedica Monroe Cardiology, PLLC
Promedica Monroe Cardiology, PLLC was paid $138K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoPROMEDICA MONROE CARDIOLOGY, PLLC
MONROE, MI 48162
MONROE, MI 48162
33aNPI1659676708assigned 01/21/2011
33bProvider typeInterventional Cardiology Physician
28Total paid$138K
24GClaims4,108
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Michigan
Rank by total paid#10 of 14
Median peer was paid$172K
This provider vs. median0.8×
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 | 1,082 | $37K | |
| 2019 | 674 | $22K | |
| 2020 | 677 | $23K | |
| 2021 | 646 | $23K | |
| 2022 | 529 | $17K | |
| 2023 | 471 | $15K | |
| 2024incomplete | 29 | $1K |
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 | 71% | 1,763 | 1,662 | $97K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 20% | 670 | 669 | $27K |
| 93000 | 9.3% | 1,611 | 1,601 | $13K | |
| 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% | 12 | 12 | $427.12 |
| 93016 | <1% | 26 | 26 | $275.81 | |
| 93018 | <1% | 26 | 26 | $183.89 |
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 officialWINES, TANYA (DIRECTOR, SYSTEM CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Promedica Central Physicians | Toledo, OH | $40.73M |
| Promedica Central Corporation of Michigan | Toledo, OH | $14.22M |
| Promedica Children's Specialists | Toledo, OH | $3.93M |
| Promedica Central Physicians | Holland, OH | $524K |
| Promedica Central Corporation of Michigan | Tecumseh, MI | $158K |
| Promedica Central Physicians | Oregon, OH | $29K |
| Promedica Central Physicians | Perrysburg, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.