Physician
Hillsdale Pediatric Clinic PC
Hillsdale Pediatric Clinic PC was paid $6.98M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHILLSDALE PEDIATRIC CLINIC PC
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1972765501assigned 06/25/2008
33bProvider typeInternal Medicine Physician
28Total paid$6.98M
24GClaims184,061
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#13 of 816
Median peer was paid$70K
This provider vs. median99×
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 | 22,602 | $734K | |
| 2019 | 20,385 | $709K | |
| 2020 | 17,384 | $615K | |
| 2021 | 7,288 | $316K | |
| 2022 | 40,064 | $1.67M | |
| 2023 | 47,787 | $1.79M | |
| 2024incomplete | 28,551 | $1.14M |
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 | 37% | 44,679 | 32,584 | $2.58M |
| 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 | 24% | 19,949 | 15,320 | $1.70M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 3,599 | 3,561 | $275K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 3,705 | 3,669 | $274K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.5% | 2,124 | 2,016 | $243K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 8,719 | 8,073 | $195K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 2,306 | 2,093 | $155K |
| 99495 | 2.2% | 1,781 | 1,722 | $154K | |
| 99442 | 2.2% | 2,780 | 2,474 | $153K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 15,075 | 10,596 | $148K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 4,654 | 4,271 | $132K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,579 | 1,558 | $127K |
58 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 8,306 | $110K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,278 | $85K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 9,094 | $84K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 771 | $80K |
| 99348 | 1.0% | 1,233 | $71K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 881 | $68K |
| 99349 | <1% | 614 | $56K | |
| 99383 | <1% | 421 | $38K | |
| 99441 | <1% | 869 | $36K | |
| 99384 | <1% | 245 | $25K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 11,620 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 513 | $20K |
| 99385 | <1% | 207 | $20K | |
| 81003 | <1% | 9,449 | $17K | |
| 99406 | <1% | 2,462 | $16K | |
| 99382 | <1% | 148 | $13K | |
| 90688 | <1% | 4,802 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 750 | $8K |
| 99381 | <1% | 95 | $8K | |
| 81025 | <1% | 1,097 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,489 | $7K |
| 83655 | <1% | 751 | $7K | |
| 85018 | <1% | 2,753 | $5K | |
| 99386 | <1% | 45 | $5K | |
| 90715 | <1% | 495 | $4K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 594 | $4K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,190 | $3K |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 350 | $2K |
| 90651 | <1% | 636 | $2K | |
| 69210 | <1% | 59 | $1K | |
| 94664 | <1% | 161 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90621 | <1% | 109 | $1K | |
| 99050 | <1% | 236 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $464.46 |
| 36416 | <1% | 107 | $413.28 | |
| 90716 | <1% | 906 | $332.53 | |
| 82962 | <1% | 127 | $328.79 | |
| 99401 | <1% | 95 | $247.45 | |
| 90707 | <1% | 884 | $231.46 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $219.36 |
| 90670 | <1% | 1,453 | $205.13 | |
| 90656 | <1% | 65 | $156.45 | |
| 99188 | <1% | 23 | $152.46 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 106 | $138.32 |
| 90734 | <1% | 437 | $128.85 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 12 | $94.84 |
| J1815 | Injection, insulin, per 5 units | <1% | 18 | $0.11 |
| 90461 | 0% | 42 | $0.00 | |
| 90648 | 0% | 1,218 | $0.00 | |
| 90687 | 0% | 266 | $0.00 | |
| 90700 | 0% | 257 | $0.00 | |
| 90633 | 0% | 624 | $0.00 | |
| 99080 | 0% | 21 | $0.00 | |
| 90723 | 0% | 649 | $0.00 | |
| 90680 | 0% | 760 | $0.00 | |
| 94760 | 0% | 94 | $0.00 | |
| 90696 | 0% | 132 | $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 officialSACKMAN, MICHAEL (OWNER)