Physician
Childrens Medical Group of Saginaw Bay PLLC
Childrens Medical Group of Saginaw Bay PLLC was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL GROUP OF SAGINAW BAY PLLC
BAY CITY, MI 48708
BAY CITY, MI 48708
33aNPI1902972748assigned 11/24/2006
33bProvider typePediatrics Physician
28Total paid$1.94M
24GClaims48,603
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#70 of 349
Median peer was paid$321K
This provider vs. median6.0×
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 | 8,099 | $272K | |
| 2019 | 6,903 | $246K | |
| 2020 | 5,858 | $227K | |
| 2021 | 6,792 | $265K | |
| 2022 | 6,814 | $296K | |
| 2023 | 7,515 | $321K | |
| 2024incomplete | 6,622 | $314K |
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 | 40% | 12,020 | 10,606 | $778K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,027 | 3,025 | $230K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 2,661 | 2,661 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 2,334 | 2,271 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 1,567 | 1,567 | $131K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 5,843 | 5,823 | $130K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.9% | 1,799 | 1,313 | $94K |
| 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 | 3.0% | 651 | 617 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 3,223 | 3,220 | $30K |
| D0190 | 1.5% | 1,842 | 1,842 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,911 | 1,870 | $26K |
| 90785 | <1% | 2,551 | 1,636 | $19K |
20 more codes
| 99188 | <1% | 1,828 | $13K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 93 | $11K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 290 | $11K |
| 96127 | <1% | 2,131 | $6K | |
| 83655 | <1% | 545 | $6K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 49 | $3K |
| 96161 | <1% | 1,081 | $2K | |
| 92567 | <1% | 172 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | $1K |
| 81000 | <1% | 160 | $498.30 | |
| 0071A | <1% | 12 | $454.20 | |
| 36416 | <1% | 160 | $409.48 | |
| 87081 | <1% | 79 | $358.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $342.75 |
| 36415 | Collection of venous blood by venipuncture | <1% | 100 | $260.76 |
| 85018 | <1% | 36 | $81.59 | |
| 91307 | 0% | 33 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 2,108 | $0.00 |
| 98966 | 0% | 220 | $0.00 | |
| G9001 | Coordinated care fee, initial rate | 0% | 12 | $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 officialVANGELDEREN, JEFFREY (OWNER)