Physician
Orchard Pediatrics PC
Orchard Pediatrics PC was paid $105K by Medicaid between Jan 2018 and Sep 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoORCHARD PEDIATRICS PC
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
33aNPI1720040215assigned 04/03/2006
33bProvider typePediatrics Physician
28Total paid$105K
24GClaims3,497
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#220 of 349
Median peer was paid$321K
This provider vs. median0.3×
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 | 1,031 | $29K | |
| 2019 | 1,209 | $39K | |
| 2020 | 704 | $23K | |
| 2021 | 553 | $14K |
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 | 64% | 1,255 | 1,109 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 749 | 746 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 180 | 180 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 154 | 132 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 42 | 41 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 86 | 80 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | 43 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 78 | 78 | $728.28 |
| 99188 | <1% | 52 | 52 | $360.36 | |
| D0190 | <1% | 17 | 17 | $253.13 | |
| 96161 | <1% | 203 | 194 | $221.98 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | 14 | $111.16 |
8 more codes
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 officialCLUNE, SARAH (PRESIDENT)