Clinic
Elite Care Physicians, PLLC
Elite Care Physicians, PLLC was paid $2.04M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoELITE CARE PHYSICIANS, PLLC
REDFORD, MI 48239
REDFORD, MI 48239
33aNPI1982830535assigned 06/09/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$2.04M
24GClaims51,931
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#16 of 113
Median peer was paid$164K
This provider vs. median12×
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 | 1,936 | $100K | |
| 2019 | 1,657 | $75K | |
| 2020 | 1,899 | $82K | |
| 2021 | 5,007 | $270K | |
| 2022 | 13,244 | $477K | |
| 2023 | 15,558 | $595K | |
| 2024incomplete | 12,630 | $441K |
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 | 43% | 9,239 | 8,593 | $880K |
| 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% | 8,671 | 7,932 | $521K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 5,185 | 1,780 | $213K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.2% | 1,050 | 1,007 | $148K |
| 99223 | Prolong inpt eval add15 m | 3.3% | 638 | 600 | $68K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.3% | 703 | 701 | $67K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 442 | 441 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 292 | 292 | $26K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 298 | 281 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 119 | 119 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 249 | 238 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 836 | 817 | $6K |
32 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 73 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 362 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,167 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 341 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 344 | $3K |
| 90686 | <1% | 132 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 141 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 39 | $1K |
| 99000 | <1% | 332 | $866.22 | |
| 99441 | <1% | 28 | $828.50 | |
| 99442 | <1% | 15 | $712.59 | |
| 99443 | <1% | 12 | $600.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $545.03 |
| 81025 | <1% | 64 | $457.68 | |
| 99401 | <1% | 19 | $401.80 | |
| 90688 | <1% | 39 | $388.37 | |
| 81001 | <1% | 27 | $53.96 | |
| 81003 | <1% | 27 | $50.90 | |
| 3074F | <1% | 4,692 | $0.09 | |
| 3079F | <1% | 3,555 | $0.06 | |
| 3078F | <1% | 3,117 | $0.06 | |
| 3080F | <1% | 2,054 | $0.04 | |
| 3077F | <1% | 1,945 | $0.04 | |
| 3075F | <1% | 1,768 | $0.03 | |
| 3051F | <1% | 503 | $0.03 | |
| G8432 | Depression screening not documented, reason not given | 0% | 3,278 | $0.00 |
| 99050 | 0% | 38 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 14 | $0.00 |
| 4019F | 0% | 13 | $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 officialDOURRA, HADI (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Priority One Urgent Care Centers PLLC | Redford, MI | $389K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.