Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Ferndale › NPI 1811226749
Physician

Exclusive Physicians PLLC

Exclusive Physicians PLLC was paid $28.56M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoEXCLUSIVE PHYSICIANS PLLC
FERNDALE, MI 48220
33aNPI1811226749assigned 12/24/2009
28Total paid$28.56M
24GClaims1,665,638
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#2 of 826
Median peer was paid$98K
This provider vs. median293×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201890,319$1.60M
201987,748$1.52M
2020151,477$2.73M
2021239,282$4.58M
2022334,943$5.48M
2023403,661$7.00M
2024incomplete358,208$5.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 122,155 103,536 $10.47M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.2% 27,957 22,327 $1.77M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4.6% 16,380 15,919 $1.32M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4.3% 14,221 13,858 $1.24M
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 3.4% 8,411 8,305 $978K
99490 Ccm add 20min 3.1% 24,003 23,974 $890K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2.2% 4,259 4,133 $636K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 6,754 6,693 $523K
80074 1.5% 13,296 13,126 $441K
99487 Ccm add 20min 1.5% 5,688 5,671 $440K
94010 1.1% 18,229 17,833 $301K
80053 Comprehensive metabolic panel <1% 34,424 32,773 $284K
287 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 42,376 $258K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,000 $241K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,234 $238K
80061 Lipid panel <1% 23,757 $229K
94690 <1% 8,675 $216K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 3,883 $210K
93922 <1% 4,524 $204K
99406 <1% 26,897 $195K
90837 Psychotherapy session, about an hour <1% 2,085 $190K
99439 <1% 6,575 $184K
36415 Collection of venous blood by venipuncture <1% 66,422 $183K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,253 $179K
93000 <1% 20,798 $172K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,315 $172K
95250 <1% 1,987 $163K
99215 Doctor's office visit, returning patient (complex) <1% 1,414 $160K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 6,010 $151K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 4,962 $144K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 20,408 $142K
84443 Thyroid stimulating hormone (TSH) <1% 11,221 $130K
93925 <1% 1,063 $128K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,622 $127K
87652 <1% 4,210 $126K
99489 Ccm add 20min <1% 2,533 $124K
87512 <1% 4,215 $120K
83036 Hemoglobin; glycosylated (A1C) <1% 16,543 $119K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,723 $118K
97535 Self-care/home management training, each 15 minutes <1% 6,391 $114K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12,304 $109K
96160 <1% 7,853 $104K
90791 Psychiatric diagnostic evaluation <1% 889 $102K
81002 <1% 39,955 $101K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 10,833 $99K
92250 <1% 4,707 $98K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 5,396 $97K
87653 <1% 4,024 $93K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 3,886 $91K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 4,261 $91K
90682 <1% 1,581 $89K
87481 <1% 4,027 $89K
99385 <1% 909 $85K
G9001 Coordinated care fee, initial rate <1% 20,024 $85K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,894 $80K
87799 <1% 3,591 $77K
87632 <1% 499 $73K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,830 $73K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,245 $73K
99457 <1% 2,294 $69K
92568 <1% 7,380 $68K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 17,631 $67K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 983 $66K
99454 <1% 1,998 $64K
96127 <1% 17,377 $64K
87492 <1% 1,599 $61K
99496 <1% 439 $60K
97162 <1% 982 $55K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,828 $54K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,103 $53K
82728 <1% 5,176 $52K
97124 <1% 3,283 $52K
82607 <1% 5,083 $52K
82172 <1% 4,293 $51K
81025 <1% 7,675 $51K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,823 $51K
95800 <1% 581 $50K
97014 <1% 7,147 $50K
92551 <1% 7,130 $50K
87500 <1% 3,449 $49K
87592 <1% 1,604 $49K
82746 <1% 4,887 $48K
84153 <1% 3,435 $47K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,689 $47K
82962 <1% 19,048 $46K
87641 <1% 3,801 $44K
71046 Radiologic examination, chest; 2 views <1% 2,458 $44K
87640 <1% 3,800 $44K
80048 Basic metabolic panel (calcium, ionized) <1% 6,398 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,647 $40K
93015 <1% 877 $39K
99386 <1% 343 $39K
84439 <1% 5,560 $38K
95251 <1% 1,937 $38K
76830 Ultrasound, transvaginal <1% 693 $37K
96138 <1% 3,248 $36K
97163 <1% 570 $34K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,995 $32K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 489 $30K
82044 <1% 6,843 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,824 $30K
99458 <1% 882 $29K
36416 <1% 23,574 $29K
83550 <1% 4,320 $27K
90686 <1% 2,100 $27K
G9002 Coordinated care fee, maintenance rate <1% 5,756 $26K
72100 <1% 1,054 $24K
99051 <1% 7,907 $24K
82570 <1% 6,624 $23K
87634 <1% 486 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 489 $20K
99383 <1% 221 $20K
90832 Psychotherapy session, about 30 minutes <1% 407 $18K
85018 <1% 9,920 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,341 $17K
82985 <1% 1,373 $16K
99384 <1% 154 $16K
73562 <1% 650 $15K
0011A <1% 425 $15K
99459 <1% 982 $14K
69210 <1% 453 $13K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,515 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 65 $13K
87486 <1% 499 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 482 $12K
G9007 Coordinated care fee, scheduled team conference <1% 5,182 $12K
0012A <1% 318 $11K
90677 <1% 174 $11K
90834 Psychotherapy session, about 45 minutes <1% 173 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 272 $10K
76536 <1% 197 $10K
99453 <1% 835 $9K
76770 <1% 205 $9K
84403 <1% 517 $9K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 6,580 $9K
20610 <1% 277 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,361 $9K
99382 <1% 94 $8K
83014 <1% 1,931 $8K
86769 <1% 237 $8K
97035 <1% 1,179 $8K
90670 <1% 551 $7K
0001A <1% 182 $7K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 287 $6K
0004A <1% 173 $6K
83540 <1% 1,392 $6K
73030 <1% 282 $5K
99495 <1% 48 $5K
90651 <1% 632 $5K
97164 <1% 127 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 4,500 $5K
72052 <1% 129 $5K
87498 <1% 346 $5K
87541 <1% 346 $5K
87581 <1% 346 $5K
90673 <1% 70 $5K
73564 <1% 195 $5K
84481 <1% 364 $4K
90715 <1% 685 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 2,857 $4K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 57 $4K
86580 <1% 638 $4K
82150 <1% 712 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 64 $3K
90621 <1% 272 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 103 $3K
83690 <1% 649 $3K
80305 <1% 366 $3K
0002A <1% 80 $3K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 269 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 553 $3K
90656 <1% 197 $3K
90732 <1% 35 $3K
90619 <1% 586 $3K
93248 <1% 154 $2K
99232 Hospital visit by a doctor, follow-up day <1% 72 $2K
86140 <1% 598 $2K
87807 <1% 306 $2K
99205 Prolong outpt/office vis <1% 20 $2K
0134A <1% 66 $2K
0124A <1% 59 $2K
0064A <1% 55 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 292 $2K
85610 <1% 645 $2K
86141 <1% 226 $2K
73130 <1% 86 $2K
85651 <1% 586 $2K
90632 <1% 31 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 26 $1K
0071A <1% 34 $1K
90716 <1% 186 $1K
93246 <1% 149 $1K
86703 <1% 110 $1K
82553 <1% 126 $1K
G0444 Annual depression screening, 5 to 15 minutes <1% 7,986 $1K
99173 <1% 6,463 $952.00
82043 <1% 221 $903.18
90472 Immunization administration, each additional vaccine (list separately) <1% 85 $793.41
73630 <1% 46 $747.02
74022 <1% 29 $740.30
73610 <1% 28 $625.39
93244 <1% 39 $569.66
99397 <1% 13 $558.80
90707 <1% 158 $526.12
84550 <1% 151 $431.55
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 318 $424.93
0003A <1% 12 $397.45
73502 <1% 14 $385.42
83655 <1% 43 $380.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 181 $374.71
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 344 $374.46
86431 <1% 84 $345.37
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 693 $319.60
96120 <1% 18 $286.09
95012 <1% 24 $210.72
90662 <1% 46 $194.87
D0190 <1% 12 $186.37
99072 <1% 10,942 $87.50
99188 <1% 12 $85.92
82550 <1% 17 $83.53
G0008 Administration of influenza virus vaccine <1% 169 $62.57
96146 <1% 235 $38.43
3008F <1% 108,019 $37.31
3074F <1% 62,828 $29.08
3078F <1% 44,387 $26.89
2014F <1% 19,495 $23.83
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 30,257 $22.38
1005F <1% 21,297 $18.67
S9441 Asthma education, non-physician provider, per session <1% 19,041 $18.66
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment <1% 21,362 $18.66
3079F <1% 39,713 $18.61
3016F <1% 20,649 $17.92
3075F <1% 19,179 $14.19
94664 <1% 56 $13.68
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 116 $5.94
1111F <1% 4,210 $3.32
3077F <1% 14,001 $2.23
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12 $1.15
1000F <1% 25,261 $0.28
98967 <1% 43 $0.04
98966 <1% 15 $0.03
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,817 $0.02
2000F 0% 15,678 $0.00
3080F 0% 12,018 $0.00
3048F 0% 9,535 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 4,801 $0.00
97010 0% 3,173 $0.00
4450F 0% 17,318 $0.00
91301 0% 141 $0.00
4011F 0% 29 $0.00
3044F 0% 11,859 $0.00
90744 0% 27 $0.00
1126F 0% 396 $0.00
90696 0% 112 $0.00
3049F 0% 7,228 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 170 $0.00
4010F 0% 330 $0.00
1170F 0% 924 $0.00
3052F 0% 425 $0.00
3066F 0% 557 $0.00
91307 0% 67 $0.00
90680 0% 51 $0.00
90697 0% 80 $0.00
90647 0% 40 $0.00
3120F 0% 65 $0.00
90723 0% 15 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 306 $0.00
90698 0% 28 $0.00
3061F 0% 12 $0.00
4008F 0% 15 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 396 $0.00
2028F 0% 4,596 $0.00
2026F 0% 5,313 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 4,143 $0.00
3050F 0% 6,142 $0.00
G9458 Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user 0% 22,213 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 943 $0.00
2022F 0% 5,316 $0.00
3051F 0% 1,132 $0.00
90461 0% 3,178 $0.00
90633 0% 600 $0.00
1159F 0% 1,807 $0.00
1160F 0% 1,809 $0.00
3046F 0% 1,741 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 680 $0.00
90713 0% 55 $0.00
3288F 0% 960 $0.00
99078 0% 1,522 $0.00
1090F 0% 1,604 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 456 $0.00
3045F 0% 196 $0.00
91300 0% 352 $0.00
90710 0% 339 $0.00
90700 0% 241 $0.00
3023F 0% 32 $0.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 0% 27 $0.00
91312 0% 52 $0.00
91313 0% 55 $0.00
90734 0% 85 $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 officialNAMAN, GREG (OWNER)
Same official

Other billing entities under NAMAN, GREG

Full network →
ProviderLocationPaid
Epic Medical Lab PLLCFerndale, MI$157.43

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.