Physician
Pediatric Cardiology of Southeastren Michigan
Pediatric Cardiology of Southeastren Michigan was paid $1.76M by Medicaid between Jul 2019 and Dec 2024, across 13 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 53% of everything it billed.
33Billing provider infoPEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN
TROY, MI 48098
TROY, MI 48098
33aNPI1801453287assigned 05/21/2019
33bProvider typePediatric Cardiology Physician
28Total paid$1.76M
24GClaims29,743
24DCodes billed13
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in Michigan
Rank by total paid#1 of 6
Median peer was paid$189K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2019 | 1,898 | $114K | |
| 2020 | 3,949 | $229K | |
| 2021 | 5,591 | $335K | |
| 2022 | 6,085 | $353K | |
| 2023 | 6,029 | $352K | |
| 2024incomplete | 6,191 | $382K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 53% | 9,497 | 9,082 | $942K |
| 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 | 23% | 4,561 | 4,547 | $408K |
| 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 | 10% | 2,619 | 2,600 | $182K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.7% | 1,190 | 1,168 | $83K |
| 93000 | 4.4% | 9,312 | 9,071 | $77K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 790 | 785 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 117 | 113 | $11K |
| 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% | 155 | 153 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 808 | 786 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | 103 | $4K |
| 93272 | <1% | 243 | 242 | $3K | |
| 93270 | <1% | 335 | 326 | $2K |
1 more codes
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
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 officialSHADE, REGINA (CONSULTANT)