Clinic
Advantage Health/Saint Mary's Medical Group
Advantage Health/Saint Mary's Medical Group was paid $296K by Medicaid between Feb 2018 and Apr 2022, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
SPARTA, MI 49345
SPARTA, MI 49345
33aNPI1760599906assigned 08/24/2006
33bProvider typeClinic/Center
28Total paid$296K
24GClaims6,633
24DCodes billed27
24AFirst – last monthFeb 2018 – Apr 2022
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#35 of 121
Median peer was paid$71K
This provider vs. median4.2×
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 | 16 | $788.26 | |
| 2019 | 60 | $2K | |
| 2020 | 2,468 | $80K | |
| 2021 | 3,180 | $163K | |
| 2022 | 909 | $50K |
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 | 37% | 2,419 | 2,241 | $110K |
| 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 | 36% | 1,667 | 1,576 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 300 | 300 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 329 | 329 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 278 | 278 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 244 | 224 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 308 | 305 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 41 | 41 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 100 | 99 | $2K |
| 90686 | <1% | 172 | 172 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 76 | 75 | $516.60 |
| 36415 | Collection of venous blood by venipuncture | <1% | 187 | 170 | $418.42 |
15 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 officialBLAIR, DAVID (CMO)
| Provider | Location | Paid |
|---|---|---|
| Advantage Health Saint Mary's Medical Group | Rockford, MI | $316K |
| Denver Family Therapy Center INC | Wheat Ridge, CO | $193K |
| Blair Counseling Services | Syracuse, NY | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.