Physician
Vernor MC INC
Vernor MC INC was paid $309K by Medicaid between Jan 2018 and Apr 2020, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoVERNOR MC INC
DETROIT, MI 48209
DETROIT, MI 48209
33aNPI1871720342assigned 06/11/2009
33bProvider typeGeneral Practice Physician
28Total paid$309K
24GClaims7,035
24DCodes billed21
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other General Practice Physician providers in Michigan
Rank by total paid#29 of 91
Median peer was paid$81K
This provider vs. median3.8×
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 | 3,514 | $168K | |
| 2019 | 2,726 | $125K | |
| 2020 | 795 | $16K |
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 | 86% | 3,544 | 2,797 | $267K |
| 99205 | Prolong outpt/office vis | 11% | 275 | 269 | $34K |
| 36415 | Collection of venous blood by venipuncture | <1% | 961 | 918 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | 25 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $964.68 |
| 87070 | <1% | 109 | 104 | $742.94 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 13 | $726.63 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | 39 | $273.00 |
| 97802 | <1% | 305 | 300 | $206.01 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 21 | 20 | $196.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 13 | $134.11 |
| 87102 | <1% | 20 | 20 | $12.93 |
9 more codes
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 officialALLENDE, ZULMA (PRESIDENT)