Sylvan Lake Family Practice PLC

Sylvan Lake Family Practice PLC was paid $23K by Medicaid between Feb 2018 and May 2024, across 8 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 53% of everything it billed.

33Billing provider infoSYLVAN LAKE FAMILY PRACTICE PLC
SYLVAN LAKE, MI 48320

33aNPI1699880989assigned 08/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$23K

24GClaims560

24DCodes billed8

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#558 of 826

Median peer was paid$98K

This provider vs. median0.2×

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	12	$817.43
2019	74	$989.09
2020	45	$2K
2021	26	$2K
2023	244	$11K
2024incomplete	159	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	53%	192	190	$12K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	34%	204	70	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	96	86	$3K
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%	13	12	$75.84
G9275	Documentation that patient is a current non-tobacco user	0%	14	13	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	14	14	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	13	12	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	14	14	$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 officialSANGHVI, PRAKASH (OWNER)