Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDICAL CENTER PEDIATRICS PLLC

NPI: 1801992698 · BINGHAM FARMS, MI 48025 · Pediatrics Physician · NPI assigned 09/16/2006

$5.20M
Total Medicaid Paid
189,968
Total Claims
182,397
Beneficiaries
88
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSAUBER, SUSAN (MANAGER)
NPI Enumeration Date09/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,689 $654K
2019 27,681 $694K
2020 24,242 $533K
2021 33,747 $782K
2022 29,629 $840K
2023 26,487 $895K
2024 21,493 $798K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,301 17,060 $1.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,052 10,327 $793K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,868 5,857 $460K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,080 5,075 $400K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,551 4,365 $327K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,087 3,082 $265K
90472 Immunization administration, each additional vaccine (list separately) 8,188 8,136 $153K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,730 10,106 $147K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,927 12,781 $134K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,101 3,066 $127K
99215 Prolong outpt/office vis 724 714 $105K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,647 2,004 $57K
99381 631 630 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,251 1,209 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,291 6,142 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,546 3,474 $33K
90473 3,287 3,284 $25K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,059 1,979 $22K
83655 1,834 1,825 $19K
99188 2,623 2,618 $19K
92552 778 777 $17K
90677 453 451 $16K
81002 3,939 3,831 $10K
0001A 262 262 $10K
96127 3,125 3,103 $9K
99000 7,677 7,021 $9K
0002A 231 231 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 380 361 $9K
99051 2,440 2,385 $8K
92587 678 673 $7K
87081 1,337 1,283 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 64 64 $6K
99177 4,449 4,437 $6K
36415 Collection of venous blood by venipuncture 1,946 1,903 $5K
0071A 107 107 $4K
87807 494 487 $4K
81003 2,052 1,972 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 63 63 $3K
0072A 77 77 $3K
90480 58 58 $2K
87634 40 39 $2K
69210 59 58 $2K
0124A 41 41 $2K
80061 Lipid panel 242 241 $2K
96160 1,113 1,078 $1K
99383 12 12 $1K
G9008 Coordinated care fee, physician coordinated care oversight services 158 157 $514.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28 28 $482.53
90620 630 630 $396.44
96380 18 18 $372.68
90672 642 642 $328.02
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 30 27 $327.60
91320 28 28 $270.00
96161 1,352 1,338 $258.90
90651 1,411 1,406 $252.27
90661 316 316 $243.24
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $193.56
99050 49 49 $185.00
90715 617 617 $164.82
90686 4,879 4,862 $146.17
90674 600 600 $103.85
99441 12 12 $98.99
36416 343 325 $45.00
90734 1,336 1,335 $0.00
90710 586 585 $0.00
90633 2,206 2,201 $0.00
99072 7,531 6,304 $0.00
91300 376 364 $0.00
90670 3,280 3,270 $0.00
99173 4,435 4,425 $0.00
90707 953 950 $0.00
90685 49 49 $0.00
91312 28 28 $0.00
90700 14 14 $0.00
90698 3,285 3,278 $0.00
90696 767 766 $0.00
90723 52 52 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,823 1,817 $0.00
90680 2,392 2,387 $0.00
90744 2,052 2,044 $0.00
3008F 2,374 2,342 $0.00
90716 1,059 1,058 $0.00
97802 2,714 2,696 $0.00
3048F 176 176 $0.00
90660 195 195 $0.00
91307 206 186 $0.00
91305 34 34 $0.00
90647 12 12 $0.00