Southwestern Michigan Neonatology, P.C.

Southwestern Michigan Neonatology, P.C. was paid $7.41M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 34% of everything it billed.

33Billing provider infoSOUTHWESTERN MICHIGAN NEONATOLOGY, P.C.
KALAMAZOO, MI 49007

33aNPI1962522771assigned 03/29/2007

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$7.41M

24GClaims50,735

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Michigan

Rank by total paid#2 of 12

Median peer was paid$491K

This provider vs. median15×

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	6,619	$631K
2019	8,120	$990K
2020	7,189	$1.01M
2021	8,056	$1.36M
2022	6,964	$1.12M
2023	7,370	$1.26M
2024incomplete	6,417	$1.04M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	34%	7,223	1,055	$2.49M
99479	Subsequent intensive care, per day, very low birth weight infant	31%	21,686	2,012	$2.29M
99480	Subsequent intensive care, per day, low birth weight infant	24%	17,470	1,919	$1.80M
99468		5.8%	544	540	$427K
99239	Hospital discharge day management, more than 30 minutes	1.8%	2,098	2,062	$130K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	1.4%	314	24	$103K
99477		1.3%	325	324	$99K
99478		<1%	300	37	$33K
94772		<1%	493	448	$19K
54150		<1%	203	202	$12K
99223	Prolong inpt eval add15 m	<1%	26	26	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	53	53	$2K

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 officialSHARDA, JOAN (FINANCIAL OFFICER)