Clinic
Gladwin Family Care PLLC
Gladwin Family Care PLLC was paid $499K by Medicaid between Jan 2018 and Sep 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoGLADWIN FAMILY CARE PLLC
GLADWIN, MI 48624
GLADWIN, MI 48624
33aNPI1972973378assigned 09/29/2015
33bProvider typeRural Health Clinic/Center
28Total paid$499K
24GClaims21,847
24DCodes billed37
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#91 of 193
Median peer was paid$426K
This provider vs. median1.2×
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 | 5,458 | $123K | |
| 2019 | 7,719 | $127K | |
| 2020 | 3,004 | $94K | |
| 2021 | 1,382 | $35K | |
| 2022 | 2,352 | $58K | |
| 2023 | 1,349 | $42K | |
| 2024incomplete | 583 | $20K |
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 | 54% | 5,036 | 4,600 | $272K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 2,959 | 2,705 | $127K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.1% | 2,474 | 2,179 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 295 | 282 | $18K |
| Q3014 | Telehealth originating site facility fee | 1.6% | 492 | 395 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 83 | 81 | $8K |
| 99442 | 1.5% | 210 | 186 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 905 | 812 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 256 | 232 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,610 | 1,500 | $3K |
| 99401 | <1% | 78 | 74 | $2K | |
| 99443 | <1% | 17 | 16 | $1K |
25 more codes
| 80305 | <1% | 206 | $1K | |
| 90674 | <1% | 84 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 148 | $908.00 |
| 99407 | <1% | 32 | $640.00 | |
| 99406 | <1% | 93 | $502.43 | |
| 96160 | <1% | 268 | $486.13 | |
| 90688 | <1% | 51 | $443.83 | |
| 90756 | <1% | 17 | $367.75 | |
| 99000 | <1% | 692 | $340.10 | |
| 96127 | <1% | 156 | $339.07 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 214 | $170.97 |
| 81002 | <1% | 64 | $150.79 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $113.04 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $35.10 |
| 3079F | 0% | 289 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 634 | $0.00 |
| 3074F | 0% | 484 | $0.00 | |
| 3075F | 0% | 338 | $0.00 | |
| 3080F | 0% | 91 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 60 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,581 | $0.00 |
| 3077F | 0% | 210 | $0.00 | |
| 3078F | 0% | 646 | $0.00 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 17 | $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 officialMAHFOOZ, NAVEED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Shattuck Family Physicians PLLC | Caro, MI | $2.11M |
| Valley Urgent Care | Saginaw, MI | $1.38M |
| Columbiaville Family Clinic PLLC | Saginaw, MI | $651K |
| ST. Charles Family Clinic PLLC | Saint Charles, MI | $497K |
| Caro Health Plaza PLC | Caro, MI | $465K |
| Mohamed Ally Health Plaza PLLC | Otisville, MI | $418K |
| Primary Hospitalist Group PLLC | Caro, MI | $403K |
| Caro Express Clinic PLC | Flint, MI | $101K |
| Cass River Health Plaza PLLC | Bridgeport, MI | $72K |
| Gladwin Family Care PLLC | Gladwin, MI | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.