Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Effective Psych Care PLLC

Effective Psych Care PLLC was paid $248K by Medicaid between Oct 2021 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoEFFECTIVE PSYCH CARE PLLC
FLINT, MI 48532
33aNPI1942747670assigned 01/19/2017
33bProvider typePsychiatry Physician
28Total paid$248K
24GClaims3,247
24DCodes billed5
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in Michigan

Rank by total paid#31 of 110
Median peer was paid$40K
This provider vs. median6.3×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202180$7K
2022706$49K
2023979$73K
2024incomplete1,482$120K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 1,245 1,141 $87K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 25% 648 171 $62K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 15% 521 125 $37K
90792 Psychiatric diagnostic evaluation with medical services 14% 276 276 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 557 517 $27K

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 officialPARASHAR, SUNIL (OWNER)