Physician
Saginaw Valley Pediatrics PLLC
Saginaw Valley Pediatrics PLLC was paid $186K by Medicaid between Jul 2023 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSAGINAW VALLEY PEDIATRICS PLLC
SAGINAW, MI 48638
SAGINAW, MI 48638
33aNPI1942903810assigned 03/22/2023
33bProvider typePediatrics Physician
28Total paid$186K
24GClaims4,097
24DCodes billed19
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#203 of 349
Median peer was paid$321K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 1,567 | $70K | |
| 2024incomplete | 2,530 | $116K |
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 | 50% | 1,235 | 1,120 | $92K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 278 | 278 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 572 | 572 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 176 | 176 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 147 | 147 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 108 | 105 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 136 | 134 | $6K |
| 81003 | <1% | 562 | 558 | $1K | |
| 96127 | <1% | 231 | 231 | $679.61 | |
| 85018 | <1% | 134 | 134 | $256.76 | |
| 90686 | 0% | 103 | 103 | $0.00 | |
| 90656 | 0% | 58 | 58 | $0.00 |
7 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 officialLOWN, JACQUELINE (OFFICE SUPERVISOR)