Physician
Macomb Medical Clinic PC
Macomb Medical Clinic PC was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoMACOMB MEDICAL CLINIC PC
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1922120070assigned 04/06/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.24M
24GClaims78,359
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#56 of 826
Median peer was paid$98K
This provider vs. median23×
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 | 14,005 | $380K | |
| 2019 | 13,197 | $368K | |
| 2020 | 11,429 | $290K | |
| 2021 | 13,957 | $328K | |
| 2022 | 12,045 | $317K | |
| 2023 | 9,031 | $317K | |
| 2024incomplete | 4,695 | $243K |
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 | 48% | 13,556 | 12,390 | $1.07M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 21% | 4,267 | 4,135 | $465K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 2,220 | 2,076 | $128K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 1,223 | 1,202 | $115K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 802 | 746 | $84K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 1,172 | 611 | $62K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 583 | 570 | $51K |
| 99497 | 1.3% | 748 | 741 | $30K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 4,559 | 4,431 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 3,465 | 3,145 | $27K |
| 93000 | 1.1% | 3,178 | 3,135 | $25K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,331 | 1,291 | $21K |
79 more codes
| 80061 | Lipid panel | <1% | 1,331 | $14K |
| 90756 | <1% | 566 | $13K | |
| 82947 | <1% | 3,526 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,552 | $11K |
| 83721 | <1% | 1,211 | $9K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,682 | $9K |
| 99406 | <1% | 1,077 | $6K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 31 | $6K |
| 82565 | <1% | 1,486 | $6K | |
| 94010 | <1% | 335 | $5K | |
| 96127 | <1% | 1,875 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 570 | $5K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 693 | $5K |
| 84520 | <1% | 1,486 | $4K | |
| 99442 | <1% | 134 | $4K | |
| 20610 | <1% | 182 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $3K |
| 99441 | <1% | 193 | $3K | |
| 95923 | <1% | 31 | $2K | |
| 86769 | <1% | 55 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 962 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 504 | $1K |
| G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 38 | $931.00 |
| 86328 | <1% | 38 | $900.30 | |
| 96160 | <1% | 887 | $806.75 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 1,119 | $704.85 |
| 99401 | <1% | 67 | $665.48 | |
| 80305 | <1% | 140 | $521.37 | |
| 72110 | <1% | 15 | $273.40 | |
| 20553 | <1% | 12 | $271.88 | |
| 20552 | <1% | 15 | $253.58 | |
| 85651 | <1% | 145 | $222.53 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 40 | $201.03 |
| 99490 | Ccm add 20min | <1% | 13 | $183.16 |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 17 | $145.68 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 70 | $106.91 |
| 81002 | <1% | 37 | $81.06 | |
| 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) | <1% | 13 | $38.52 |
| 3074F | <1% | 3,422 | $10.88 | |
| 3078F | <1% | 2,473 | $8.40 | |
| 3079F | <1% | 1,981 | $5.04 | |
| 4013F | <1% | 532 | $3.73 | |
| 2014F | <1% | 1,242 | $3.66 | |
| 3075F | <1% | 872 | $1.82 | |
| 4010F | <1% | 986 | $1.15 | |
| 4037F | <1% | 365 | $1.13 | |
| 3066F | <1% | 815 | $0.95 | |
| 3051F | <1% | 69 | $0.52 | |
| 1159F | <1% | 71 | $0.21 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 51 | $0.18 |
| 3080F | <1% | 229 | $0.16 | |
| 3049F | <1% | 42 | $0.13 | |
| 4306F | <1% | 178 | $0.11 | |
| 3050F | <1% | 26 | $0.11 | |
| 3048F | <1% | 536 | $0.10 | |
| 3077F | <1% | 174 | $0.07 | |
| 1158F | <1% | 413 | $0.05 | |
| 3288F | <1% | 67 | $0.01 | |
| 1157F | <1% | 39 | $0.01 | |
| 1170F | <1% | 12 | $0.01 | |
| G9796 | Patient is currently on a high intensity statin therapy | 0% | 205 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 267 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 88 | $0.00 |
| 81007 | 0% | 86 | $0.00 | |
| 99072 | 0% | 1,552 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 90 | $0.00 |
| 3046F | 0% | 16 | $0.00 | |
| 3044F | 0% | 1,675 | $0.00 | |
| 94760 | 0% | 198 | $0.00 | |
| 3017F | 0% | 13 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 82 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 40 | $0.00 |
| 1036F | 0% | 40 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 40 | $0.00 |
| 3072F | 0% | 39 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 0% | 16 | $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 officialROSENBERG, MARK (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Mark H Rosenberg | Martinsville, IN | $8K |
| Doctors Diagnostic Center PC | Sterling Heights, MI | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.