Professional Plaza Clinic Corporation
Professional Plaza Clinic Corporation was paid $1.67M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPROFESSIONAL PLAZA CLINIC CORPORATION
DETROIT, MI 48208
DETROIT, MI 48208
33aNPI1992709331assigned 06/13/2005
33bProvider typeLegal Medicine
28Total paid$1.67M
24GClaims95,922
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Legal Medicine providers in Michigan
Rank by total paid#1 of 8
Median peer was paid$125K
This provider vs. median13×
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 | 15,310 | $295K | |
| 2019 | 15,432 | $242K | |
| 2020 | 10,185 | $182K | |
| 2021 | 10,794 | $247K | |
| 2022 | 14,187 | $256K | |
| 2023 | 16,950 | $283K | |
| 2024incomplete | 13,064 | $170K |
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 | 46% | 8,766 | 8,286 | $764K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 26% | 3,665 | 3,552 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 2,946 | 2,772 | $153K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.4% | 820 | 809 | $74K |
| 99205 | Prolong outpt/office vis | 3.4% | 406 | 402 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 441 | 431 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 336 | 331 | $27K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,048 | 5,814 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 185 | 178 | $13K |
| 96111 | <1% | 163 | 152 | $12K | |
| 92081 | <1% | 655 | 630 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 126 | 123 | $10K |
68 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 307 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 544 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,085 | $8K |
| 92551 | <1% | 1,206 | $8K | |
| 99406 | <1% | 932 | $8K | |
| 99407 | <1% | 450 | $7K | |
| 99386 | <1% | 38 | $5K | |
| D0190 | <1% | 293 | $4K | |
| 81002 | <1% | 1,300 | $3K | |
| 96112 | <1% | 41 | $3K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 125 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 94 | $2K |
| 99383 | <1% | 17 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $866.33 |
| 97802 | <1% | 480 | $795.31 | |
| 99188 | <1% | 96 | $678.79 | |
| 99408 | <1% | 34 | $465.17 | |
| 86580 | <1% | 101 | $421.51 | |
| 82962 | <1% | 172 | $415.31 | |
| 81025 | <1% | 56 | $350.42 | |
| 82947 | <1% | 110 | $199.95 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $188.44 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,740 | $125.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $124.04 |
| 97803 | <1% | 112 | $83.86 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,175 | $37.50 |
| 2000F | <1% | 8,131 | $7.01 | |
| 3078F | <1% | 3,582 | $1.76 | |
| 3074F | <1% | 4,915 | $1.74 | |
| 3079F | <1% | 3,593 | $1.37 | |
| 3077F | <1% | 2,197 | $1.23 | |
| 3075F | <1% | 1,833 | $0.92 | |
| 3080F | <1% | 1,766 | $0.68 | |
| 3754F | <1% | 546 | $0.16 | |
| 3008F | <1% | 830 | $0.14 | |
| 1220F | <1% | 2,018 | $0.06 | |
| 3011F | <1% | 622 | $0.04 | |
| 1034F | <1% | 1,433 | $0.04 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,159 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 5,659 | $0.00 |
| 83655 | 0% | 252 | $0.00 | |
| 80061 | Lipid panel | 0% | 2,901 | $0.00 |
| 90707 | 0% | 24 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,411 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 90670 | 0% | 24 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 90 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90649 | 0% | 28 | $0.00 | |
| 3511F | 0% | 17 | $0.00 | |
| 87110 | 0% | 12 | $0.00 | |
| 94760 | 0% | 3,554 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 99 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,918 | $0.00 |
| 1125F | 0% | 249 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 3,652 | $0.00 |
| 1036F | 0% | 529 | $0.00 | |
| 3017F | 0% | 79 | $0.00 | |
| 1126F | 0% | 221 | $0.00 | |
| 4000F | 0% | 142 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 132 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 60 | $0.00 |
| 90716 | 0% | 24 | $0.00 | |
| 90686 | 0% | 13 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| 81005 | 0% | 14 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 3044F | 0% | 19 | $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 officialMCBRIDE, ANDREA (CEO/PRESIDENT)