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
WEST BLOOMFIELD, MI 48322
33aNPI1679631360assigned 12/05/2006
33bProvider typePediatric Otolaryngology Physician
28Total paid$3.05M
24GClaims63,946
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
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 | 10,455 | $438K | |
| 2019 | 9,899 | $404K | |
| 2020 | 7,622 | $310K | |
| 2021 | 7,196 | $332K | |
| 2022 | 8,714 | $445K | |
| 2023 | 10,096 | $545K | |
| 2024incomplete | 9,964 | $574K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)