Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › West Bloomfield › NPI 1679631360
Physician

Michigan Pediatric Ent Associates, PLLC

Michigan Pediatric Ent Associates, PLLC was paid $3.05M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 20% of everything it billed.

33Billing provider infoMICHIGAN PEDIATRIC ENT ASSOCIATES, PLLC
WEST BLOOMFIELD, MI 48322
33aNPI1679631360assigned 12/05/2006
28Total paid$3.05M
24GClaims63,946
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201810,455$438K
20199,899$404K
20207,622$310K
20217,196$332K
20228,714$445K
202310,096$545K
2024incomplete9,964$574K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 6,753 6,723 $622K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 12,543 12,195 $551K
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 16% 7,511 7,364 $476K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 11% 2,736 2,713 $335K
42820 Tonsillectomy and adenoidectomy; younger than age 12 10.0% 1,843 1,831 $305K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.1% 3,010 2,994 $185K
92567 3.8% 13,059 12,866 $116K
92552 2.0% 3,187 3,154 $60K
92579 2.0% 2,889 2,859 $60K
31575 1.9% 1,070 1,063 $59K
42830 1.6% 592 587 $49K
92557 1.5% 2,181 2,154 $46K
15 more codes
92582 1.4% 970 $41K
92556 1.0% 1,500 $31K
92511 <1% 399 $27K
92555 <1% 1,085 $18K
99441 <1% 818 $18K
69610 <1% 78 $15K
92587 <1% 1,084 $13K
69210 <1% 369 $8K
41010 <1% 24 $3K
99205 Prolong outpt/office vis <1% 25 $3K
31561 <1% 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 86 $2K
41520 <1% 12 $2K
30901 <1% 12 $1K
92583 0% 98 $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 officialDENHARDT, LYNN (PRACTICE MANAGER)