Physician
Medical Center Pediatrics PLLC
Medical Center Pediatrics PLLC was paid $5.20M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMEDICAL CENTER PEDIATRICS PLLC
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
33aNPI1801992698assigned 09/16/2006
33bProvider typePediatrics Physician
28Total paid$5.20M
24GClaims189,968
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#19 of 349
Median peer was paid$321K
This provider vs. median16×
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 | 26,689 | $654K | |
| 2019 | 27,681 | $694K | |
| 2020 | 24,242 | $533K | |
| 2021 | 33,747 | $782K | |
| 2022 | 29,629 | $840K | |
| 2023 | 26,487 | $895K | |
| 2024incomplete | 21,493 | $798K |
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 | 35% | 19,301 | 17,060 | $1.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 11,052 | 10,327 | $793K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 5,868 | 5,857 | $460K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 5,080 | 5,075 | $400K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 4,551 | 4,365 | $327K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 3,087 | 3,082 | $265K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 8,188 | 8,136 | $153K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 10,730 | 10,106 | $147K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 12,927 | 12,781 | $134K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 3,101 | 3,066 | $127K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 724 | 714 | $105K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 2,647 | 2,004 | $57K |
76 more codes
| 99381 | 1.1% | 631 | $56K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,251 | $51K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,291 | $41K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,546 | $33K |
| 90473 | <1% | 3,287 | $25K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,059 | $22K |
| 83655 | <1% | 1,834 | $19K | |
| 99188 | <1% | 2,623 | $19K | |
| 92552 | <1% | 778 | $17K | |
| 90677 | <1% | 453 | $16K | |
| 81002 | <1% | 3,939 | $10K | |
| 0001A | <1% | 262 | $10K | |
| 96127 | <1% | 3,125 | $9K | |
| 99000 | <1% | 7,677 | $9K | |
| 0002A | <1% | 231 | $9K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 380 | $9K |
| 99051 | <1% | 2,440 | $8K | |
| 92587 | <1% | 678 | $7K | |
| 87081 | <1% | 1,337 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 64 | $6K |
| 99177 | <1% | 4,449 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,946 | $5K |
| 0071A | <1% | 107 | $4K | |
| 87807 | <1% | 494 | $4K | |
| 81003 | <1% | 2,052 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 63 | $3K |
| 0072A | <1% | 77 | $3K | |
| 90480 | <1% | 58 | $2K | |
| 87634 | <1% | 40 | $2K | |
| 69210 | <1% | 59 | $2K | |
| 0124A | <1% | 41 | $2K | |
| 80061 | Lipid panel | <1% | 242 | $2K |
| 96160 | <1% | 1,113 | $1K | |
| 99383 | <1% | 12 | $1K | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 158 | $514.86 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $482.53 |
| 90620 | <1% | 630 | $396.44 | |
| 96380 | <1% | 18 | $372.68 | |
| 90672 | <1% | 642 | $328.02 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $327.60 |
| 91320 | <1% | 28 | $270.00 | |
| 96161 | <1% | 1,352 | $258.90 | |
| 90651 | <1% | 1,411 | $252.27 | |
| 90661 | <1% | 316 | $243.24 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25 | $193.56 |
| 99050 | <1% | 49 | $185.00 | |
| 90715 | <1% | 617 | $164.82 | |
| 90686 | <1% | 4,879 | $146.17 | |
| 90674 | <1% | 600 | $103.85 | |
| 99441 | <1% | 12 | $98.99 | |
| 36416 | <1% | 343 | $45.00 | |
| 90734 | 0% | 1,336 | $0.00 | |
| 90710 | 0% | 586 | $0.00 | |
| 90633 | 0% | 2,206 | $0.00 | |
| 99072 | 0% | 7,531 | $0.00 | |
| 91300 | 0% | 376 | $0.00 | |
| 90670 | 0% | 3,280 | $0.00 | |
| 99173 | 0% | 4,435 | $0.00 | |
| 90707 | 0% | 953 | $0.00 | |
| 90685 | 0% | 49 | $0.00 | |
| 91312 | 0% | 28 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90698 | 0% | 3,285 | $0.00 | |
| 90696 | 0% | 767 | $0.00 | |
| 90723 | 0% | 52 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,823 | $0.00 |
| 90680 | 0% | 2,392 | $0.00 | |
| 90744 | 0% | 2,052 | $0.00 | |
| 3008F | 0% | 2,374 | $0.00 | |
| 90716 | 0% | 1,059 | $0.00 | |
| 97802 | 0% | 2,714 | $0.00 | |
| 3048F | 0% | 176 | $0.00 | |
| 90660 | 0% | 195 | $0.00 | |
| 91307 | 0% | 206 | $0.00 | |
| 91305 | 0% | 34 | $0.00 | |
| 90647 | 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 officialSAUBER, SUSAN (MANAGER)