Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Marysville › NPI 1750334405
Physician

Physician Healthcare Network, PC

Physician Healthcare Network, PC was paid $13.62M by Medicaid between Jan 2018 and Dec 2024, across 173 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoPHYSICIAN HEALTHCARE NETWORK, PC
MARYSVILLE, MI 48040
33aNPI1750334405assigned 05/17/2006
33bProvider typeEmergency Medicine Physician
28Total paid$13.62M
24GClaims781,170
24DCodes billed173
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#8 of 248
Median peer was paid$57K
This provider vs. median241×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2018158,304$2.46M
2019150,211$2.54M
2020116,787$1.99M
202185,746$1.54M
202293,654$1.78M
202394,983$1.82M
2024incomplete81,485$1.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 60,998 56,030 $3.97M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 88,621 78,372 $3.21M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.8% 18,361 16,726 $927K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.2% 12,234 10,944 $840K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.2% 11,921 11,305 $575K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.6% 3,756 3,736 $352K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.4% 8,722 8,469 $332K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.4% 4,005 3,986 $326K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.2% 8,527 8,465 $305K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.2% 8,213 8,171 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.9% 6,292 6,255 $262K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 3,841 3,828 $243K
161 more codes
99204 Doctor's office visit, new patient (more involved) 1.7% 2,553 $238K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,153 $126K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,130 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 9,190 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 6,457 $87K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 21,382 $85K
99308 Subsequent nursing facility care, per day, straightforward <1% 3,498 $85K
99381 <1% 1,139 $81K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 645 $61K
99215 Doctor's office visit, returning patient (complex) <1% 793 $57K
90472 Immunization administration, each additional vaccine (list separately) <1% 10,957 $54K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,336 $54K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,274 $53K
99232 Hospital visit by a doctor, follow-up day <1% 1,633 $53K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 8,551 $47K
99222 Initial hospital care, per day, moderate complexity <1% 666 $41K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 779 $40K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 859 $40K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 8,961 $38K
83036 Hemoglobin; glycosylated (A1C) <1% 4,463 $29K
99000 <1% 3,019 $27K
99223 Prolong inpt eval add15 m <1% 294 $26K
96127 <1% 10,075 $26K
90686 <1% 5,299 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,023 $22K
81025 <1% 3,547 $22K
90715 <1% 2,223 $22K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,131 $21K
17110 <1% 522 $21K
81003 <1% 12,837 $20K
99051 <1% 6,424 $20K
99254 <1% 210 $20K
93000 <1% 1,862 $15K
99238 Hospital discharge day management, 30 minutes or less <1% 460 $15K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 1,403 $14K
10060 <1% 204 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 80 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 113 $11K
90651 <1% 2,352 $9K
90847 Family psychotherapy with the patient present, 50 minutes <1% 157 $9K
99460 <1% 179 $8K
99463 <1% 153 $8K
99441 <1% 516 $8K
12001 <1% 271 $8K
99306 Prolong nursin fac eval 15m <1% 97 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,204 $6K
99442 <1% 265 $6K
90670 <1% 5,751 $5K
90474 <1% 3,303 $5K
36416 <1% 1,261 $4K
99383 <1% 82 $4K
92558 <1% 2,309 $4K
71046 Radiologic examination, chest; 2 views <1% 195 $3K
99406 <1% 400 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,584 $3K
36415 Collection of venous blood by venipuncture <1% 908 $2K
12002 <1% 64 $2K
99382 <1% 37 $2K
99307 <1% 127 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 30 $2K
82044 <1% 419 $2K
90734 <1% 2,025 $1K
85018 <1% 1,568 $1K
90656 <1% 150 $1K
0012A <1% 34 $1K
99310 Prolong nursin fac eval 15m <1% 12 $1K
86308 <1% 313 $1K
95117 <1% 473 $1K
17250 <1% 25 $1K
0011A <1% 36 $1K
94010 <1% 59 $1K
90632 <1% 15 $877.65
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 585 $868.84
90707 <1% 1,489 $866.27
12011 <1% 24 $782.38
99174 <1% 2,229 $725.53
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 18 $690.70
29125 <1% 30 $676.05
99384 <1% 14 $596.22
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 412 $582.60
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 26 $574.28
69209 <1% 56 $549.47
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% 848 $526.67
99217 <1% 12 $492.12
99316 <1% 15 $478.55
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 89 $439.91
90621 <1% 600 $403.58
29515 <1% 12 $352.44
96160 <1% 15 $315.27
90714 <1% 13 $300.95
90677 <1% 217 $298.04
G0008 Administration of influenza virus vaccine <1% 214 $248.98
90716 <1% 1,476 $224.36
J1010 Injection, methylprednisolone acetate, 1 mg <1% 20 $168.44
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 24 $136.34
82962 <1% 56 $116.62
3008F <1% 81,740 $100.55
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $87.14
3074F <1% 70,342 $78.01
3078F <1% 58,263 $65.29
3079F <1% 25,415 $40.97
90461 <1% 1,404 $33.50
3075F <1% 11,258 $26.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 86 $18.65
3077F <1% 7,659 $9.49
99053 <1% 3,400 $8.75
3080F <1% 5,544 $7.18
1034F <1% 10,274 $7.03
2010F <1% 12,768 $3.25
2000F <1% 2,162 $2.20
1033F <1% 377 $1.06
3051F <1% 266 $0.60
1005F <1% 98 $0.19
3052F <1% 59 $0.18
1032F <1% 41 $0.16
G9002 Coordinated care fee, maintenance rate <1% 361 $0.09
1000F <1% 16 $0.05
G8421 Bmi not documented and no reason is given <1% 470 $0.01
3045F 0% 240 $0.00
90685 0% 418 $0.00
4004F 0% 2,975 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 729 $0.00
90648 0% 745 $0.00
90700 0% 1,018 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 4,674 $0.00
3046F 0% 332 $0.00
99173 0% 989 $0.00
90633 0% 3,946 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 232 $0.00
90710 0% 1,016 $0.00
4120F 0% 1,169 $0.00
G9001 Coordinated care fee, initial rate 0% 153 $0.00
90662 0% 30 $0.00
3016F 0% 94 $0.00
99072 0% 437 $0.00
90713 0% 18 $0.00
3288F 0% 14 $0.00
90671 0% 12 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 940 $0.00
90680 0% 3,615 $0.00
90698 0% 4,690 $0.00
90744 0% 2,876 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 2,137 $0.00
90696 0% 1,137 $0.00
G9007 Coordinated care fee, scheduled team conference 0% 112 $0.00
1036F 0% 24,144 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 5,203 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,691 $0.00
3044F 0% 2,208 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 3,796 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 126 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 771 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 97 $0.00
1111F 0% 217 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 122 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 58 $0.00
90619 0% 310 $0.00
1038F 0% 52 $0.00
94760 0% 16 $0.00
90688 0% 79 $0.00
91301 0% 13 $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 officialCUSUMANO, MIMMA (DIRECTOR OF FINANCE)