Physician
Pinetree Medical Center, PC
Pinetree Medical Center, PC was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPINETREE MEDICAL CENTER, PC
WATERFORD, MI 48328
WATERFORD, MI 48328
33aNPI1699934158assigned 06/09/2008
33bProvider typePediatrics Physician
28Total paid$1.33M
24GClaims42,399
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#100 of 349
Median peer was paid$321K
This provider vs. median4.1×
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 | 7,268 | $205K | |
| 2019 | 7,279 | $199K | |
| 2020 | 5,052 | $149K | |
| 2021 | 6,170 | $180K | |
| 2022 | 6,242 | $209K | |
| 2023 | 5,516 | $203K | |
| 2024incomplete | 4,872 | $184K |
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 | 49% | 10,101 | 9,028 | $645K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,923 | 1,917 | $154K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 1,639 | 1,628 | $132K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 1,082 | 1,073 | $93K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 3,172 | 3,085 | $68K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 6,643 | 6,566 | $63K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 883 | 867 | $61K |
| 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 | 3.9% | 593 | 573 | $52K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 2,020 | 1,955 | $26K |
| 92587 | <1% | 1,170 | 1,165 | $11K | |
| 81002 | <1% | 3,857 | 3,823 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 137 | 131 | $6K |
25 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 154 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 152 | $2K |
| 90649 | <1% | 43 | $775.15 | |
| 0071A | <1% | 12 | $460.32 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,962 | $405.56 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 524 | $190.07 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $150.46 |
| 97802 | <1% | 13 | $120.00 | |
| 90661 | <1% | 45 | $25.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 522 | $5.00 |
| 90658 | <1% | 35 | $0.01 | |
| 90723 | 0% | 81 | $0.00 | |
| 90686 | 0% | 243 | $0.00 | |
| 90698 | 0% | 89 | $0.00 | |
| 90744 | 0% | 37 | $0.00 | |
| 90680 | 0% | 77 | $0.00 | |
| 94760 | 0% | 44 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 99173 | 0% | 3,488 | $0.00 | |
| 90633 | 0% | 39 | $0.00 | |
| 90461 | 0% | 848 | $0.00 | |
| 90670 | 0% | 474 | $0.00 | |
| 90707 | 0% | 52 | $0.00 | |
| 90734 | 0% | 85 | $0.00 | |
| 90648 | 0% | 122 | $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 officialISLAM, SHAMIM (CEO)