Physician
Monroe Pediatrics PLLC
Monroe Pediatrics PLLC was paid $1.68M by Medicaid between Jan 2019 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMONROE PEDIATRICS PLLC
MONROE, MI 48162
MONROE, MI 48162
33aNPI1861967630assigned 10/09/2018
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims44,897
24DCodes billed48
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#79 of 349
Median peer was paid$321K
This provider vs. median5.2×
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 | 9,430 | $262K | |
| 2020 | 6,773 | $209K | |
| 2021 | 6,044 | $232K | |
| 2022 | 6,599 | $264K | |
| 2023 | 7,479 | $353K | |
| 2024incomplete | 8,572 | $365K |
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 | 36% | 9,661 | 7,427 | $604K |
| 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 | 31% | 5,303 | 4,533 | $515K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 1,451 | 1,435 | $114K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,170 | 1,164 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 1,278 | 1,220 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 619 | 618 | $53K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 1,919 | 1,781 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 2,899 | 2,813 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 2,281 | 2,082 | $29K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 3,345 | 3,276 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,280 | 2,236 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 661 | 635 | $20K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,049 | $13K |
| 36416 | <1% | 2,630 | $10K | |
| 81000 | <1% | 2,743 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 162 | $7K |
| 87081 | <1% | 1,128 | $6K | |
| 96127 | <1% | 1,460 | $4K | |
| 83655 | <1% | 350 | $4K | |
| 90671 | <1% | 57 | $3K | |
| 87807 | <1% | 206 | $2K | |
| 99382 | <1% | 13 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 99 | $877.81 |
| 99441 | <1% | 17 | $627.04 | |
| 90661 | <1% | 95 | $371.61 | |
| 96161 | <1% | 117 | $214.82 | |
| 90474 | <1% | 12 | $137.19 | |
| 90670 | <1% | 340 | $91.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 35 | $70.38 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 28 | $41.44 |
| 90686 | <1% | 472 | $32.00 | |
| 90685 | <1% | 21 | $21.81 | |
| 98966 | <1% | 243 | $0.03 | |
| 90633 | 0% | 37 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90707 | 0% | 80 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 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) | 0% | 66 | $0.00 |
| 90744 | 0% | 52 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 90651 | 0% | 42 | $0.00 | |
| 90680 | 0% | 96 | $0.00 | |
| 90716 | 0% | 92 | $0.00 | |
| 90698 | 0% | 146 | $0.00 | |
| 90697 | 0% | 39 | $0.00 | |
| 99058 | 0% | 12 | $0.00 | |
| 90619 | 0% | 18 | $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 officialHASSAN, FATIMA (OWNER)