Physician
Metropolitan Hospital
Metropolitan Hospital was paid $3.62M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMETROPOLITAN HOSPITAL
WYOMING, MI 49519
WYOMING, MI 49519
33aNPI1811937519assigned 06/08/2006
33bProvider typePsychiatry Physician
28Total paid$3.62M
24GClaims86,314
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Michigan
Rank by total paid#6 of 110
Median peer was paid$40K
This provider vs. median91×
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 | 6,457 | $228K | |
| 2019 | 8,164 | $284K | |
| 2020 | 10,670 | $397K | |
| 2021 | 15,747 | $673K | |
| 2022 | 16,023 | $713K | |
| 2023 | 20,659 | $984K | |
| 2024incomplete | 8,594 | $341K |
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 | 32% | 24,024 | 21,951 | $1.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 27,712 | 25,054 | $1.10M |
| 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 | 5.3% | 2,701 | 2,651 | $191K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 2,705 | 2,705 | $162K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 2,786 | 2,722 | $148K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 2,508 | 2,488 | $132K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 1,728 | 1,723 | $120K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 1,872 | 1,796 | $117K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.2% | 1,136 | 1,134 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 1,328 | 1,328 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 624 | 624 | $43K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 757 | 731 | $31K |
61 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,358 | $28K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 783 | $27K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 283 | $17K |
| 76830 | Ultrasound, transvaginal | <1% | 369 | $15K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 545 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 157 | $14K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 471 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,026 | $12K |
| 99385 | <1% | 143 | $11K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 267 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 72 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 238 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,250 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,213 | $7K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 305 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 216 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 88 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 119 | $5K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,218 | $5K |
| 59025 | Fetal non-stress test | <1% | 166 | $4K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 294 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 160 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 92 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 53 | $2K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 123 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 24 | $2K |
| 87428 | <1% | 58 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 47 | $1K |
| 90686 | <1% | 81 | $1K | |
| 96127 | <1% | 937 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 31 | $1K |
| 73630 | <1% | 209 | $972.97 | |
| 99152 | <1% | 124 | $822.62 | |
| 81025 | <1% | 116 | $800.87 | |
| 99382 | <1% | 12 | $797.52 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $732.24 |
| 76801 | <1% | 14 | $699.69 | |
| 93975 | <1% | 24 | $645.80 | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 12 | $636.70 |
| 92015 | Determination of refractive state | <1% | 55 | $591.88 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $479.55 |
| 73562 | <1% | 75 | $363.60 | |
| 73030 | <1% | 43 | $203.30 | |
| 74018 | <1% | 41 | $175.10 | |
| 90656 | <1% | 14 | $168.00 | |
| 98966 | <1% | 1,219 | $159.39 | |
| 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% | 125 | $118.04 |
| 90688 | <1% | 18 | $104.40 | |
| 73130 | <1% | 23 | $99.00 | |
| 99442 | <1% | 14 | $97.99 | |
| 73610 | <1% | 17 | $91.29 | |
| 81002 | <1% | 24 | $60.52 | |
| 99441 | <1% | 16 | $57.54 | |
| 81003 | <1% | 31 | $52.36 | |
| 98967 | <1% | 244 | $48.20 | |
| 99406 | <1% | 12 | $12.46 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 204 | $0.10 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 147 | $0.05 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 88 | $0.01 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 245 | $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 officialSUSTERICH, TIMOTHY (CHIEF FINANCIAL OFFICER)
Parent organizationMETROPOLITAN HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Metropolitan Hospital | Wyoming, MI | $2.13M |
| Metropolitan Hospital | Wyoming, MI | $102K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.