Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PORTAGE PHYSICIAN PRACTICES INC.

NPI: 1679902191 · HOUGHTON, MI 49931 · Emergency Medicine Physician · NPI assigned 11/05/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$763K
Total Medicaid Paid
19,957
Total Claims
18,886
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
Parent OrganizationPORTAGE PHYSICIAN PRACTICES INC.
NPI Enumeration Date11/05/2013

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,766 $58K
2019 2,011 $64K
2020 1,833 $61K
2021 2,976 $104K
2022 3,142 $122K
2023 4,828 $199K
2024 3,401 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,071 13,188 $671K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,164 1,133 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,556 2,505 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 208 208 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 757 717 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 202 159 $3K
81002 698 678 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $820.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 66 66 $785.38
90686 58 58 $779.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $92.95
86710 151 149 $0.00