Marshall Medical Associates PC
Marshall Medical Associates PC was paid $317K by Medicaid between Jan 2018 and Jan 2020, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoMARSHALL MEDICAL ASSOCIATES PC
MARSHALL, MI 49068
MARSHALL, MI 49068
33aNPI1760698971assigned 05/15/2007
33bProvider typeLegal Medicine
28Total paid$317K
24GClaims7,586
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Legal Medicine providers in Michigan
Rank by total paid#4 of 8
Median peer was paid$125K
This provider vs. median2.5×
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 | 5,140 | $207K | |
| 2019 | 2,305 | $103K | |
| 2020 | 141 | $7K |
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 | 49% | 2,123 | 1,997 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,034 | 1,892 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 235 | 206 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 203 | 203 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 109 | 109 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 924 | 911 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 468 | 464 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | 32 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 24 | 24 | $3K |
| 90686 | <1% | 205 | 202 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | 75 | $947.32 |
| 90682 | <1% | 15 | 15 | $748.00 |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $676.52 |
| 90715 | <1% | 38 | $623.13 | |
| 81003 | <1% | 362 | $575.67 | |
| 99051 | <1% | 62 | $322.80 | |
| 81025 | <1% | 13 | $78.08 | |
| 90670 | 0% | 156 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90685 | 0% | 29 | $0.00 | |
| 90633 | 0% | 67 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 1220F | 0% | 240 | $0.00 | |
| 90698 | 0% | 53 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90744 | 0% | 12 | $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 officialMACHALKA, MARK (OWNER)