Michigan Primary Care PLLC
Michigan Primary Care PLLC was paid $2.49M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoMICHIGAN PRIMARY CARE PLLC
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
33aNPI1669799128assigned 04/23/2010
33bProvider typeSpecialist
28Total paid$2.49M
24GClaims96,573
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#16 of 181
Median peer was paid$94K
This provider vs. median26×
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 | 5,423 | $202K | |
| 2019 | 10,610 | $236K | |
| 2020 | 9,992 | $233K | |
| 2021 | 12,278 | $313K | |
| 2022 | 13,835 | $369K | |
| 2023 | 25,828 | $644K | |
| 2024incomplete | 18,607 | $498K |
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 | 47% | 15,136 | 14,575 | $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 | 14% | 6,337 | 6,071 | $358K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.7% | 2,290 | 2,272 | $217K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 1,631 | 1,581 | $178K |
| 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 | 4.5% | 971 | 965 | $112K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 2,260 | 862 | $99K |
| 99401 | 3.0% | 3,209 | 3,170 | $75K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 765 | 756 | $67K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 540 | 536 | $41K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 805 | 791 | $36K |
| 90756 | 1.1% | 1,060 | 1,059 | $26K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 329 | 321 | $21K |
31 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,265 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,995 | $15K |
| 93000 | <1% | 1,797 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,148 | $12K |
| 99406 | <1% | 1,552 | $12K | |
| 94010 | <1% | 354 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 159 | $4K |
| 99385 | <1% | 25 | $3K | |
| 90661 | <1% | 65 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 354 | $2K |
| 92250 | <1% | 64 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 18 | $1K |
| 90688 | <1% | 60 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 802 | $1K |
| 90653 | <1% | 12 | $572.74 | |
| 90674 | <1% | 17 | $505.97 | |
| 11900 | <1% | 12 | $405.88 | |
| 90686 | <1% | 13 | $233.68 | |
| G0008 | Administration of influenza virus vaccine | <1% | 61 | $220.36 |
| 81025 | <1% | 36 | $208.07 | |
| 96160 | <1% | 77 | $161.52 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $96.34 |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 17 | $60.61 |
| 3078F | <1% | 11,192 | $36.49 | |
| 3074F | <1% | 15,493 | $36.09 | |
| 3075F | <1% | 3,207 | $10.37 | |
| 3079F | <1% | 7,156 | $9.74 | |
| 3080F | <1% | 1,655 | $0.93 | |
| 3077F | <1% | 1,206 | $0.61 | |
| G8432 | Depression screening not documented, reason not given | 0% | 5,712 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,704 | $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 officialBROWN, LISA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Oral & Facial Surgery of Al, PC | Birmingham, AL | $6.38M |
| Assisted Hands LLC | Baton Rouge, LA | $4.29M |
| Comfort Kare LLC | Rockville, MD | $1.25M |
| Cascade Pediatrics LLP | Grand Rapids, MI | $211K |
| Catholic Social Services INC | Anchorage, AK | $158K |
| Booker Hospital District | Booker, TX | $68K |
| Michigan Diagnostic Group PLC | Sterling Heights, MI | $4K |
| Kreative Minds of Baton Rouge | Baton Rouge, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.