Physician
Ped PC
Ped PC was paid $3.45M by Medicaid between Apr 2019 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPED PC
MONROE, MI 48162
MONROE, MI 48162
33aNPI1821561127assigned 01/09/2019
33bProvider typePediatrics Physician
28Total paid$3.45M
24GClaims95,488
24DCodes billed57
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#41 of 349
Median peer was paid$321K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 12,558 | $370K | |
| 2020 | 15,031 | $455K | |
| 2021 | 17,617 | $589K | |
| 2022 | 19,336 | $705K | |
| 2023 | 17,874 | $727K | |
| 2024incomplete | 13,072 | $604K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 25,998 | 20,925 | $1.63M |
| 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 | 9.3% | 3,595 | 3,419 | $322K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 4,175 | 4,147 | $321K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 4,632 | 4,009 | $314K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 2,135 | 2,130 | $162K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 6,303 | 6,169 | $152K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,262 | 1,261 | $108K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 8,154 | 7,391 | $101K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 2,112 | 2,106 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,824 | 1,781 | $71K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 6,749 | 6,619 | $62K |
| 87428 | 1.0% | 1,085 | 1,015 | $35K |
45 more codes
| 97802 | <1% | 571 | $11K | |
| 90677 | <1% | 252 | $9K | |
| 99460 | <1% | 162 | $8K | |
| 99188 | <1% | 2,027 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,149 | $8K |
| 96127 | <1% | 2,262 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 422 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 148 | $6K |
| 90474 | <1% | 751 | $6K | |
| 99381 | <1% | 67 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 381 | $3K |
| 81002 | <1% | 612 | $2K | |
| 99462 | <1% | 63 | $1K | |
| 87276 | <1% | 99 | $1K | |
| 96160 | <1% | 737 | $1K | |
| 96161 | <1% | 856 | $1K | |
| 87275 | <1% | 98 | $522.29 | |
| 99051 | <1% | 111 | $375.00 | |
| 0002A | <1% | 14 | $226.14 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $155.72 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 844 | $71.00 |
| 90686 | <1% | 1,359 | $43.87 | |
| 99401 | <1% | 371 | $25.19 | |
| 90707 | <1% | 1,258 | $5.96 | |
| 90633 | <1% | 1,509 | $5.96 | |
| 90670 | <1% | 2,468 | $5.96 | |
| 90696 | 0% | 258 | $0.00 | |
| 90698 | 0% | 2,382 | $0.00 | |
| 90716 | 0% | 1,150 | $0.00 | |
| 90680 | 0% | 1,768 | $0.00 | |
| 90619 | 0% | 137 | $0.00 | |
| 90744 | 0% | 1,358 | $0.00 | |
| 90651 | 0% | 304 | $0.00 | |
| 90697 | 0% | 233 | $0.00 | |
| 90656 | 0% | 85 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| 94760 | 0% | 123 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $0.00 |
| 90685 | 0% | 181 | $0.00 | |
| 90715 | 0% | 120 | $0.00 | |
| 90461 | 0% | 223 | $0.00 | |
| 90734 | 0% | 154 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 263 | $0.00 |
| 91300 | 0% | 49 | $0.00 | |
| 90380 | 0% | 27 | $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 officialRANGANATHA, VIJAYALAKSHMI (MEMBER)