Physician
Northern Michigan Medical Management
Northern Michigan Medical Management was paid $468K by Medicaid between Jan 2018 and May 2023, across 23 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 15% of everything it billed.
33Billing provider infoNORTHERN MICHIGAN MEDICAL MANAGEMENT
PETOSKEY, MI 49770
PETOSKEY, MI 49770
33aNPI1881727956assigned 03/14/2007
33bProvider typeNeurological Surgery Physician
28Total paid$468K
24GClaims9,357
24DCodes billed23
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Neurological Surgery Physician providers in Michigan
Rank by total paid#2 of 20
Median peer was paid$14K
This provider vs. median32×
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 | 2,742 | $139K | |
| 2019 | 2,388 | $113K | |
| 2020 | 1,253 | $59K | |
| 2021 | 250 | $10K | |
| 2022 | 1,104 | $55K | |
| 2023 | 1,620 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 1,874 | 662 | $70K |
| 99223 | Prolong inpt eval add15 m | 14% | 658 | 595 | $63K |
| 99238 | Hospital discharge day management, 30 minutes or less | 10% | 1,182 | 1,160 | $47K |
| 99460 | 9.1% | 810 | 800 | $43K | |
| 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 | 8.6% | 801 | 764 | $40K |
| 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 | 8.3% | 465 | 459 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.0% | 699 | 275 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 295 | 278 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.3% | 364 | 342 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 545 | 531 | $19K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 203 | 201 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 141 | 132 | $9K |
11 more codes
| 99205 | Prolong outpt/office vis | 1.8% | 84 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | 1.8% | 151 | $8K |
| 99462 | 1.6% | 339 | $8K | |
| 54150 | 1.5% | 124 | $7K | |
| 99464 | 1.1% | 121 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 221 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 51 | $4K |
| 99221 | <1% | 14 | $736.58 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 135 | $396.41 |
| 99152 | <1% | 24 | $119.57 | |
| 82962 | <1% | 56 | $40.72 |
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 officialDEVET, CATHERINE (C.E.O.)
| Provider | Location | Paid |
|---|---|---|
| Northern Michigan Hematology and Oncology | Petoskey, MI | $145K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.