Physician
West Bloomfield Pediatrics PLLC
West Bloomfield Pediatrics PLLC was paid $2.51M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoWEST BLOOMFIELD PEDIATRICS PLLC
NOVI, MI 48377
NOVI, MI 48377
33aNPI1871660324assigned 11/29/2006
33bProvider typePediatrics Physician
28Total paid$2.51M
24GClaims74,645
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#54 of 349
Median peer was paid$321K
This provider vs. median7.8×
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 | 11,959 | $341K | |
| 2019 | 11,847 | $334K | |
| 2020 | 8,873 | $257K | |
| 2021 | 11,415 | $369K | |
| 2022 | 11,026 | $412K | |
| 2023 | 10,864 | $437K | |
| 2024incomplete | 8,661 | $358K |
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 | 39% | 15,443 | 13,681 | $989K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,425 | 3,421 | $267K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 3,259 | 3,256 | $253K |
| 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 | 9.8% | 2,598 | 2,509 | $245K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 2,838 | 2,599 | $196K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 1,911 | 1,908 | $162K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 6,907 | 6,862 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,672 | 1,616 | $71K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 7,766 | 7,634 | $51K |
| 90671 | <1% | 166 | 166 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,176 | 2,170 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,364 | 1,319 | $18K |
46 more codes
| 96127 | <1% | 3,532 | $12K | |
| 81002 | <1% | 4,072 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 886 | $9K |
| 83655 | <1% | 749 | $8K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 331 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 166 | $7K |
| 99188 | <1% | 534 | $4K | |
| 99177 | <1% | 2,234 | $4K | |
| 92558 | <1% | 1,764 | $3K | |
| 92567 | <1% | 265 | $2K | |
| 0071A | <1% | 58 | $2K | |
| 87631 | <1% | 31 | $2K | |
| 0072A | <1% | 59 | $2K | |
| 96160 | <1% | 1,284 | $2K | |
| 96161 | <1% | 884 | $1K | |
| 80061 | Lipid panel | <1% | 51 | $498.19 |
| 92551 | <1% | 76 | $475.39 | |
| D0190 | <1% | 26 | $408.59 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 35 | $363.16 |
| 36416 | <1% | 159 | $272.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $184.27 |
| 36415 | Collection of venous blood by venipuncture | <1% | 110 | $143.61 |
| 90670 | 0% | 1,265 | $0.00 | |
| 90710 | 0% | 55 | $0.00 | |
| 90633 | 0% | 827 | $0.00 | |
| 90461 | 0% | 253 | $0.00 | |
| 99173 | 0% | 44 | $0.00 | |
| 90621 | 0% | 69 | $0.00 | |
| 90685 | 0% | 144 | $0.00 | |
| 90707 | 0% | 93 | $0.00 | |
| 90715 | 0% | 58 | $0.00 | |
| 90700 | 0% | 50 | $0.00 | |
| 90648 | 0% | 106 | $0.00 | |
| 90734 | 0% | 213 | $0.00 | |
| 90651 | 0% | 514 | $0.00 | |
| 90680 | 0% | 714 | $0.00 | |
| 90744 | 0% | 336 | $0.00 | |
| 90686 | 0% | 1,944 | $0.00 | |
| 90698 | 0% | 597 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 3351F | 0% | 16 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 90697 | 0% | 97 | $0.00 | |
| 90619 | 0% | 165 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90656 | 0% | 144 | $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 officialFORMAN, SETH (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Bernard F Germain, MD PA | Tampa, FL | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.