Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › FLINT › PHYSICIAN COVERAGE SERVICES PC

PHYSICIAN COVERAGE SERVICES PC

NPI: 1669567806 · FLINT, MI 48503 · Pediatrics Physician · NPI assigned 10/04/2006

$16.59M
Total Medicaid Paid
1,011,764
Total Claims
914,781
Beneficiaries
172
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKROMER, GAIL (BILLER)
NPI Enumeration Date10/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,710 $2.05M
2019 49,179 $2.02M
2020 176,862 $2.19M
2021 159,563 $2.54M
2022 154,385 $2.43M
2023 216,505 $2.75M
2024 204,560 $2.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101,144 88,357 $5.68M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,842 66,472 $5.62M
99232 Subsequent hospital care, per day, moderate complexity 17,068 5,062 $626K
99223 Prolong inpt eval add15 m 5,375 4,974 $512K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,765 5,730 $500K
99233 Prolong inpt eval add15 m 9,067 3,127 $496K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,333 4,316 $411K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,214 4,182 $327K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,083 2,072 $254K
99239 Hospital discharge day management, more than 30 minutes 4,563 4,284 $249K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,502 4,273 $155K
99215 Prolong outpt/office vis 1,353 1,320 $143K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,637 1,621 $141K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,554 1,543 $130K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,521 1,505 $127K
99496 960 951 $122K
99222 Initial hospital care, per day, moderate complexity 1,591 1,499 $108K
90682 1,460 1,457 $78K
99220 935 903 $78K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,639 638 $78K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,756 8,163 $72K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,047 1,012 $71K
90460 Immunization administration through 18 years of age via any route, first or only component 2,768 2,641 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,460 4,406 $43K
99495 383 374 $40K
99238 Hospital discharge day management, 30 minutes or less 903 832 $35K
99406 4,441 4,381 $35K
81002 13,048 12,652 $33K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,241 556 $28K
90686 2,124 2,110 $26K
93000 3,034 2,985 $25K
81025 3,670 3,591 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,105 494 $24K
99349 358 343 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 327 325 $17K
99217 485 469 $16K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 688 682 $16K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,519 421 $16K
90472 Immunization administration, each additional vaccine (list separately) 1,057 1,040 $16K
99487 Ccm add 20min 236 218 $10K
96160 978 976 $10K
90673 141 141 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 614 519 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 663 649 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,686 4,343 $7K
99235 72 71 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 404 186 $6K
99443 260 245 $6K
94010 331 327 $6K
99442 273 259 $6K
99385 47 46 $5K
94060 148 146 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 169 66 $3K
97162 68 66 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 252 246 $3K
69210 113 110 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 287 269 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 391 376 $3K
99219 39 39 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 56 56 $2K
71046 Radiologic examination, chest; 2 views 109 106 $2K
98966 753 692 $2K
97116 110 32 $2K
99383 15 15 $2K
99348 58 57 $1K
99308 Subsequent nursing facility care, per day, straightforward 44 44 $1K
86580 220 213 $1K
90656 75 73 $1K
97164 30 30 $971.26
90670 569 567 $830.14
72100 43 43 $776.91
98967 202 178 $745.33
20610 18 12 $680.94
82947 241 232 $660.15
99407 44 44 $619.11
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 37 36 $582.96
82274 39 39 $570.34
98968 81 53 $569.43
90662 84 82 $559.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 82 74 $485.66
82962 272 254 $428.74
J0696 Injection, ceftriaxone sodium, per 250 mg 478 450 $417.93
J1010 Injection, methylprednisolone acetate, 1 mg 135 128 $404.56
98940 30 13 $388.31
99441 48 48 $373.23
97014 49 12 $359.17
99226 67 46 $340.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 108 106 $199.98
90715 258 256 $199.18
73560 14 12 $184.87
90716 12 12 $176.20
97035 165 35 $164.17
G0008 Administration of influenza virus vaccine 384 381 $134.76
J2919 Injection, methylprednisolone sodium succinate, 5 mg 50 40 $111.50
90707 12 12 $53.17
G9007 Coordinated care fee, scheduled team conference 1,840 1,751 $2.09
3074F 47,146 43,577 $1.38
G9008 Coordinated care fee, physician coordinated care oversight services 790 786 $1.35
G9001 Coordinated care fee, initial rate 866 862 $1.26
3077F 15,293 14,519 $0.61
G9002 Coordinated care fee, maintenance rate 942 845 $0.53
3075F 16,522 16,032 $0.36
3079F 34,243 32,497 $0.00
3044F 23,761 21,491 $0.00
90651 366 363 $0.00
3080F 13,969 13,344 $0.00
4008F 14,321 12,920 $0.00
1111F 22,621 20,537 $0.00
97010 262 61 $0.00
1034F 22,325 20,567 $0.00
1000F 64,143 58,865 $0.00
3014F 6,764 6,115 $0.00
4000F 1,176 1,167 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 781 744 $0.00
3052F 1,389 1,273 $0.00
3061F 3,990 3,607 $0.00
3060F 1,940 1,736 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 123 117 $0.00
1036F 42,368 38,916 $0.00
90744 119 119 $0.00
3066F 3,575 3,214 $0.00
G8432 Depression screening not documented, reason not given 138 134 $0.00
90698 266 266 $0.00
1031F 6,173 5,864 $0.00
1035F 673 616 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,649 1,540 $0.00
4010F 20,075 18,139 $0.00
3017F 10,936 9,934 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,232 7,210 $0.00
G8732 No documentation of pain assessment, reason not given 253 242 $0.00
4037F 1,175 1,171 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 93 88 $0.00
4140F 11,537 10,364 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 63 63 $0.00
90619 55 55 $0.00
90696 31 31 $0.00
90680 65 64 $0.00
1101F 31 29 $0.00
91301 14 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16,389 15,559 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,890 1,877 $0.00
90461 129 128 $0.00
3023F 305 275 $0.00
3078F 30,271 28,452 $0.00
3046F 3,512 3,139 $0.00
90734 278 277 $0.00
1160F 62,713 57,694 $0.00
1159F 62,683 57,686 $0.00
3725F 11,694 11,641 $0.00
4025F 29,295 26,294 $0.00
4013F 19,019 17,276 $0.00
4001F 4,492 4,163 $0.00
G8598 Aspirin or another antiplatelet therapy used 13,948 12,553 $0.00
G8482 Influenza immunization administered or previously received 32 30 $0.00
3051F 2,156 1,980 $0.00
G8421 Bmi not documented and no reason is given 1,365 1,333 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 20 19 $0.00
4040F 19,848 18,218 $0.00
90633 457 457 $0.00
1033F 4,998 4,736 $0.00
1032F 1,551 1,482 $0.00
2022F 2,984 2,669 $0.00
4187F 1,595 1,428 $0.00
3015F 7,881 7,069 $0.00
4004F 327 320 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 75 72 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 235 225 $0.00
1040F 140 139 $0.00
90710 77 77 $0.00
G8484 Influenza immunization was not administered, reason not given 95 93 $0.00
90700 16 14 $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) 16 15 $0.00