Michigan Neurology Associates PC

Michigan Neurology Associates PC was paid $798K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoMICHIGAN NEUROLOGY ASSOCIATES PC
ST CLAIR SHORES, MI 48080

33aNPI1861498362assigned 06/21/2005

33bProvider typeNeurology Physician

28Total paid$798K

24GClaims17,805

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in Michigan

Rank by total paid#9 of 78

Median peer was paid$69K

This provider vs. median12×

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	3,513	$116K
2019	1,814	$60K
2020	1,344	$58K
2021	1,572	$77K
2022	2,353	$106K
2023	3,669	$174K
2024incomplete	3,540	$206K

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	26%	4,320	4,142	$211K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	4,048	1,135	$173K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	3,507	3,448	$137K
99223	Prolong inpt eval add15 m	16%	1,193	1,167	$129K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.0%	735	336	$48K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	3.0%	1,252	1,243	$24K
99222	Initial hospital care, per day, moderate complexity	2.4%	252	246	$19K
99205	Prolong outpt/office vis	2.2%	171	171	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	251	242	$16K
99490	Ccm add 20min	1.5%	902	899	$12K
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	1.2%	119	118	$9K
76942		<1%	97	92	$960.15

7 more codes

J1030	Injection, methylprednisolone acetate, 40 mg	<1%	175	$389.25
76882		<1%	97	$334.74
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	269	$318.51
20553		<1%	26	$290.28
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%	12	$206.27
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	118	$175.32
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	261	$173.44

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 officialGIANCARLO, THOMAS (PRESIDENT, MICHIGAN NEUROLOGY ASSOC)