Physician
Birmingham Royal Oak Medical Group
Birmingham Royal Oak Medical Group was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoBIRMINGHAM ROYAL OAK MEDICAL GROUP
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
33aNPI1699907550assigned 08/11/2009
33bProvider typeFamily Medicine Physician
28Total paid$1.08M
24GClaims27,732
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#126 of 826
Median peer was paid$98K
This provider vs. median11×
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 | 4,063 | $128K | |
| 2019 | 5,758 | $177K | |
| 2020 | 6,378 | $226K | |
| 2021 | 4,342 | $200K | |
| 2022 | 4,022 | $180K | |
| 2023 | 2,275 | $112K | |
| 2024incomplete | 894 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 11,481 | 8,864 | $654K |
| 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 | 27% | 3,731 | 3,185 | $290K |
| 99406 | 4.2% | 5,402 | 4,170 | $45K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 241 | 222 | $23K |
| 80305 | 2.1% | 2,784 | 2,379 | $23K | |
| 99205 | Prolong outpt/office vis | <1% | 52 | 50 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 100 | 100 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 138 | 137 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 391 | 388 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 846 | 810 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | 68 | $3K |
| 93000 | <1% | 230 | 229 | $2K |
9 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 203 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,215 | $1K |
| 94010 | <1% | 53 | $951.13 | |
| 81003 | <1% | 643 | $888.34 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $562.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $165.36 |
| 94760 | 0% | 12 | $0.00 | |
| 99000 | 0% | 43 | $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 officialGEORGE, MUMTAZ (MEDICAL DIRECTOR)