Physician
West Michigan Surgical Specialists PLC
West Michigan Surgical Specialists PLC was paid $370K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 28% of everything it billed.
33Billing provider infoWEST MICHIGAN SURGICAL SPECIALISTS PLC
WYOMING, MI 49509
WYOMING, MI 49509
33aNPI1679508659assigned 07/11/2006
33bProvider typeSurgery Physician
28Total paid$370K
24GClaims7,484
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Surgery Physician providers in Michigan
Rank by total paid#18 of 111
Median peer was paid$17K
This provider vs. median22×
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 | 1,004 | $45K | |
| 2019 | 885 | $37K | |
| 2020 | 1,062 | $47K | |
| 2021 | 1,392 | $73K | |
| 2022 | 1,134 | $56K | |
| 2023 | 1,197 | $67K | |
| 2024incomplete | 810 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 1,869 | 1,857 | $102K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 1,950 | 965 | $76K |
| 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% | 1,632 | 1,541 | $60K |
| 99222 | Initial hospital care, per day, moderate complexity | 13% | 727 | 698 | $49K |
| 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 | 8.5% | 374 | 373 | $32K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.7% | 351 | 348 | $21K |
| 47562 | 4.6% | 48 | 48 | $17K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.2% | 491 | 166 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 13 | $675.00 |
| 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 | <1% | 12 | 12 | $674.70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 17 | 17 | $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 officialBORRESON, DANIEL (M.D./PRESIDENT)