Physician
Mclaren Oakland
Mclaren Oakland was paid $2.33M by Medicaid between Jan 2018 and Jan 2021, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMCLAREN OAKLAND
PONTIAC, MI 48342
PONTIAC, MI 48342
33aNPI1790055143assigned 01/03/2012
33bProvider typeFamily Medicine Physician
28Total paid$2.33M
24GClaims64,923
24DCodes billed49
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#53 of 826
Median peer was paid$98K
This provider vs. median24×
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 | 26,380 | $951K | |
| 2019 | 20,314 | $770K | |
| 2020 | 16,784 | $554K | |
| 2021 | 1,445 | $59K |
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 | 32% | 14,747 | 13,633 | $750K |
| 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% | 20,847 | 18,967 | $743K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.9% | 1,373 | 1,358 | $114K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 1,095 | 1,093 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 1,050 | 1,044 | $73K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 976 | 966 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 3,338 | 3,261 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 865 | 861 | $62K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 1,003 | 987 | $53K |
| 99058 | 2.3% | 838 | 767 | $53K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 1,001 | 966 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 836 | 826 | $46K |
37 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 873 | $32K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 650 | $21K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,646 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 190 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,095 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 116 | $10K |
| 90686 | <1% | 580 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 102 | $9K |
| 93000 | <1% | 1,149 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,288 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 659 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 748 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 91 | $5K |
| 98926 | <1% | 156 | $4K | |
| 96160 | <1% | 173 | $4K | |
| 93970 | <1% | 107 | $2K | |
| 99385 | <1% | 24 | $2K | |
| 81003 | <1% | 883 | $2K | |
| 99000 | <1% | 188 | $998.70 | |
| 99383 | <1% | 13 | $974.72 | |
| 93971 | <1% | 73 | $882.99 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $850.15 |
| 99442 | <1% | 83 | $809.78 | |
| 93880 | <1% | 12 | $646.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | $583.57 |
| 93018 | <1% | 61 | $354.66 | |
| 99441 | <1% | 45 | $242.75 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 158 | $219.88 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24 | $174.07 |
| 96127 | <1% | 469 | $157.24 | |
| 93016 | <1% | 15 | $140.01 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 37 | $63.93 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 67 | $54.97 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $41.27 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 14 | $25.77 |
| 96161 | <1% | 42 | $5.14 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 25 | $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 officialMARCOTTE, LYNN (VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Oakland | Pontiac, MI | $39.12M |
| Mclaren Oakland | Pontiac, MI | $5.73M |
| Mclaren Oakland | Pontiac, MI | $478K |
| Mclaren Oakland | Pontiac, MI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.