Physician
Wayne Pediatrics INC.
Wayne Pediatrics INC. was paid $1.51M by Medicaid between Oct 2020 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoWAYNE PEDIATRICS INC.
DETROIT, MI 48201
DETROIT, MI 48201
33aNPI1760015622assigned 02/19/2020
33bProvider typePediatrics Physician
28Total paid$1.51M
24GClaims41,990
24DCodes billed67
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#89 of 349
Median peer was paid$321K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2020 | 405 | $12K | |
| 2021 | 3,668 | $146K | |
| 2022 | 9,376 | $339K | |
| 2023 | 13,621 | $486K | |
| 2024incomplete | 14,920 | $529K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 6,053 | 5,663 | $469K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,571 | 3,326 | $235K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,199 | 2,071 | $172K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 1,431 | 1,417 | $127K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 845 | 812 | $94K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 545 | 541 | $56K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.6% | 2,444 | 2,422 | $55K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 3,649 | 3,628 | $51K |
| 99381 | 3.0% | 484 | 479 | $45K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 2,519 | 2,490 | $27K |
| 99383 | 1.6% | 255 | 255 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 273 | 267 | $25K |
55 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 678 | $24K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 4,591 | $20K |
| 99382 | <1% | 132 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 82 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 99 | $10K |
| 90474 | <1% | 794 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 99 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 716 | $6K |
| 90677 | <1% | 674 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $4K |
| 92551 | <1% | 547 | $4K | |
| 95251 | <1% | 138 | $3K | |
| 81025 | <1% | 390 | $3K | |
| 83037 | <1% | 314 | $2K | |
| 90686 | <1% | 830 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 20 | $2K |
| 96127 | <1% | 496 | $2K | |
| 0001A | <1% | 39 | $1K | |
| 90651 | <1% | 126 | $1K | |
| 90670 | <1% | 645 | $991.38 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $799.05 |
| 90480 | <1% | 20 | $700.00 | |
| 82962 | <1% | 268 | $689.17 | |
| 96381 | <1% | 36 | $641.99 | |
| 99174 | <1% | 141 | $552.56 | |
| 0124A | <1% | 26 | $533.47 | |
| 90656 | <1% | 169 | $410.81 | |
| 81003 | <1% | 162 | $267.97 | |
| 96161 | <1% | 121 | $193.02 | |
| 90688 | <1% | 30 | $191.70 | |
| 99177 | <1% | 55 | $160.94 | |
| 90716 | <1% | 205 | $136.26 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 31 | $80.92 |
| 90715 | <1% | 29 | $77.34 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 15 | $61.98 |
| 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% | 220 | $16.76 |
| 90671 | <1% | 188 | $1.39 | |
| 90633 | 0% | 761 | $0.00 | |
| 90700 | 0% | 175 | $0.00 | |
| 91300 | 0% | 52 | $0.00 | |
| 90707 | 0% | 195 | $0.00 | |
| 90461 | 0% | 120 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 147 | $0.00 |
| 90710 | 0% | 81 | $0.00 | |
| 91308 | 0% | 13 | $0.00 | |
| 91312 | 0% | 13 | $0.00 | |
| 90697 | 0% | 1,116 | $0.00 | |
| 90680 | 0% | 1,133 | $0.00 | |
| 90647 | 0% | 279 | $0.00 | |
| 90723 | 0% | 245 | $0.00 | |
| 91307 | 0% | 40 | $0.00 | |
| 91305 | 0% | 33 | $0.00 | |
| 91318 | 0% | 12 | $0.00 | |
| 90696 | 0% | 50 | $0.00 | |
| 90619 | 0% | 15 | $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 officialGRAY, HERMAN (PRESIDENT)