Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › DETROIT › UNIVERSITY PEDIATRICIANS

UNIVERSITY PEDIATRICIANS

NPI: 1811920549 · DETROIT, MI 48201 · Pediatrics Physician · NPI assigned 07/08/2006

$107.02M
Total Medicaid Paid
1,469,196
Total Claims
1,168,733
Beneficiaries
178
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRISON, MARK (COO)
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: HARRISON, MARK

ProviderCityStateTotal Paid
UNIVERSITY PEDIATRICIANS AUTISM CENTER NOVI MI $9.14M
UNIVERSITY PEDIATRICIANS DETROIT MI $2.01M
VALLEY CANCER ASSOCIATES PA HARLINGEN TX $1.33M
MARK R HARRISON DDS PA EXETER NH $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 213,716 $13.44M
2019 212,783 $13.92M
2020 167,372 $12.22M
2021 217,222 $16.08M
2022 223,117 $17.58M
2023 224,240 $17.55M
2024 210,746 $16.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 44,765 4,520 $15.22M
99284 Emergency department visit for the evaluation and management, high severity 140,479 134,934 $8.71M
99283 Emergency department visit for the evaluation and management, moderate severity 112,785 108,709 $6.90M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 19,679 3,145 $6.53M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 116,730 106,903 $6.00M
99215 Prolong outpt/office vis 74,916 65,489 $5.89M
99233 Prolong inpt eval add15 m 73,224 16,584 $4.49M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31,319 13,152 $3.88M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 42,800 41,283 $3.63M
99468 3,707 3,450 $2.76M
99282 Emergency department visit for the evaluation and management, low to moderate severity 53,396 52,055 $2.68M
99232 Subsequent hospital care, per day, moderate complexity 63,837 22,002 $2.62M
99223 Prolong inpt eval add15 m 22,762 20,199 $2.43M
99480 Subsequent intensive care, per day, low birth weight infant 23,802 4,417 $2.38M
99479 Subsequent intensive care, per day, very low birth weight infant 23,058 2,871 $2.35M
99471 3,246 3,131 $2.13M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27,156 26,766 $1.98M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,851 47,641 $1.71M
99238 Hospital discharge day management, 30 minutes or less 35,996 34,972 $1.47M
99476 4,572 894 $1.34M
99244 Office or other outpatient consultation, moderate to high complexity 15,296 15,026 $1.29M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24,821 24,108 $1.14M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,282 20,172 $1.10M
99222 Initial hospital care, per day, moderate complexity 14,014 12,695 $1.02M
99239 Hospital discharge day management, more than 30 minutes 15,432 14,756 $995K
99205 Prolong outpt/office vis 9,464 9,348 $933K
99254 8,803 7,454 $770K
99255 6,482 5,426 $716K
99475 1,470 1,421 $697K
95720 5,821 4,434 $674K
99477 2,490 2,415 $654K
99460 11,505 11,426 $619K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,234 13,644 $614K
99292 5,277 2,708 $607K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,683 11,631 $605K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 15,985 13,086 $566K
99245 5,082 5,009 $544K
01922 5,786 5,674 $512K
99220 5,189 5,094 $510K
99236 Prolong inpt eval add15 m 3,812 3,783 $462K
95951 2,639 1,993 $416K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,213 8,151 $368K
99219 4,893 4,830 $347K
99417 Prolong home eval add 15m 14,940 13,942 $332K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,446 5,423 $309K
99217 7,283 7,176 $289K
99235 2,983 2,952 $273K
99243 4,675 4,626 $249K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,491 3,437 $244K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,626 3,396 $238K
99462 9,051 6,378 $210K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,063 35,447 $205K
99381 4,241 4,203 $201K
99221 3,327 3,170 $175K
93320 16,412 12,954 $168K
96110 Developmental screening, with scoring and documentation, per standardized instrument 26,875 26,778 $165K
95782 2,642 2,465 $161K
54150 2,637 2,625 $148K
99253 2,441 2,223 $148K
95816 4,523 4,455 $145K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,385 3,055 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,471 7,360 $125K
99418 Prolong nursin fac eval 15m 2,020 1,368 $105K
95718 1,282 1,130 $99K
99464 2,186 2,162 $90K
76825 1,927 1,821 $90K
99478 1,025 133 $87K
12011 2,538 2,514 $82K
99383 1,301 1,299 $75K
64642 1,179 1,164 $70K
99157 1,076 708 $59K
62270 1,564 1,377 $59K
95251 2,788 2,779 $58K
94010 11,479 11,083 $57K
64643 972 961 $51K
12001 1,945 1,934 $51K
36455 660 593 $48K
45380 Colonoscopy, flexible; with biopsy, single or multiple 369 368 $42K
99218 693 661 $36K
16020 1,021 1,015 $34K
93325 18,192 14,283 $32K
76827 1,894 1,793 $31K
99384 435 433 $28K
29125 1,354 1,293 $28K
99356 623 440 $27K
99382 453 451 $26K
85060 2,968 2,602 $24K
85390 1,275 828 $22K
99156 498 494 $21K
76820 1,425 1,329 $20K
96450 434 352 $19K
99252 438 428 $17K
93531 96 90 $17K
99442 383 369 $15K
95819 487 475 $15K
29515 567 554 $15K
99465 173 170 $15K
88189 323 279 $13K
10060 235 230 $13K
69210 675 660 $13K
76705 Ultrasound, abdominal, real time with image documentation; limited 714 710 $12K
93308 792 750 $11K
99155 229 227 $11K
96131 69 68 $10K
90791 Psychiatric diagnostic evaluation 69 68 $9K
31500 126 113 $9K
29105 354 342 $8K
99234 114 114 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 135 134 $8K
36011 166 159 $8K
43762 344 328 $7K
95722 43 41 $6K
93315 74 53 $5K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 185 170 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 111 95 $5K
99242 129 128 $5K
25600 44 44 $4K
99251 166 165 $4K
76937 577 545 $4K
96130 81 80 $4K
99151 271 271 $4K
93227 311 293 $4K
24640 100 91 $4K
93568 148 143 $4K
12002 101 101 $3K
99152 479 476 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 118 118 $3K
62370 114 114 $3K
93016 223 215 $3K
95813 51 51 $2K
96040 60 58 $2K
93018 274 263 $2K
93272 164 163 $2K
93567 80 75 $2K
69200 79 79 $2K
96127 10,902 10,860 $2K
36589 25 25 $2K
88187 79 63 $2K
94726 261 237 $2K
85097 44 43 $2K
92950 15 13 $2K
98926 75 63 $2K
96137 25 25 $1K
94729 268 244 $1K
17250 53 52 $1K
30300 13 13 $1K
88188 27 27 $984.35
76604 54 52 $850.86
99225 205 146 $832.88
99463 12 12 $830.02
99441 43 43 $828.95
94060 123 120 $798.97
95811 13 12 $785.95
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) 14,420 12,710 $703.49
99224 90 88 $649.60
94681 111 106 $633.34
95805 20 20 $632.32
93280 31 28 $550.00
96161 4,797 4,727 $548.66
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 97 96 $497.09
93566 15 13 $347.62
95812 14 13 $285.54
36620 12 12 $257.21
95873 26 24 $252.14
96136 25 25 $246.56
99188 41 41 $212.42
93321 49 37 $207.74
99358 Prolong nursin fac eval 15m 641 586 $201.55
76882 15 15 $194.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 44 $149.10
95874 26 13 $139.96
99153 Mod sedat endo service >5yrs 427 421 $96.95
90472 Immunization administration, each additional vaccine (list separately) 22 16 $77.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 553 552 $65.00
96160 56 56 $13.44
36415 Collection of venous blood by venipuncture 12 12 $10.80
99401 82 81 $0.00
99226 19 13 $0.00