Physician
Forum Medical Clinic, PC
Forum Medical Clinic, PC was paid $2.90M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoFORUM MEDICAL CLINIC, PC
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
33aNPI1992734578assigned 07/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.90M
24GClaims117,917
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#36 of 816
Median peer was paid$70K
This provider vs. median41×
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 | 11,478 | $302K | |
| 2019 | 17,594 | $369K | |
| 2020 | 16,846 | $378K | |
| 2021 | 17,292 | $442K | |
| 2022 | 17,439 | $463K | |
| 2023 | 19,142 | $531K | |
| 2024incomplete | 18,126 | $415K |
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 | 49% | 17,394 | 16,602 | $1.44M |
| 99223 | Prolong inpt eval add15 m | 11% | 3,021 | 2,817 | $323K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 7,363 | 1,879 | $306K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.8% | 2,809 | 2,043 | $169K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 2,878 | 2,778 | $166K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.6% | 2,207 | 2,098 | $134K |
| 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% | 345 | 344 | $46K |
| 82652 | 1.5% | 1,375 | 1,363 | $43K | |
| 99220 | 1.2% | 366 | 358 | $36K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 321 | 309 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 4,669 | 4,633 | $29K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,242 | 2,224 | $29K |
52 more codes
| 80053 | Comprehensive metabolic panel | <1% | 2,537 | $21K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 515 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,724 | $18K |
| 80061 | Lipid panel | <1% | 1,549 | $16K |
| 94060 | <1% | 392 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,081 | $8K |
| 84439 | <1% | 919 | $6K | |
| 82607 | <1% | 485 | $6K | |
| 99406 | <1% | 790 | $6K | |
| 93000 | <1% | 762 | $6K | |
| 99490 | Ccm add 20min | <1% | 385 | $5K |
| 90686 | <1% | 269 | $5K | |
| 82746 | <1% | 419 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 476 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,127 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $2K |
| 86328 | <1% | 60 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,387 | $2K |
| 90682 | <1% | 34 | $1K | |
| 99217 | <1% | 38 | $1K | |
| 81002 | <1% | 481 | $1K | |
| 90688 | <1% | 62 | $1K | |
| 81003 | <1% | 481 | $880.80 | |
| 99408 | <1% | 42 | $832.28 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,386 | $567.22 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 39 | $558.08 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 40 | $196.32 |
| 96160 | <1% | 48 | $89.94 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $52.18 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 13 | $51.50 |
| 99072 | <1% | 468 | $35.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 655 | $8.84 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13,856 | $0.00 |
| 3044F | 0% | 626 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 440 | $0.00 |
| 3049F | 0% | 234 | $0.00 | |
| 3080F | 0% | 294 | $0.00 | |
| 3074F | 0% | 1,173 | $0.00 | |
| 1111F | 0% | 128 | $0.00 | |
| 3079F | 0% | 828 | $0.00 | |
| 3048F | 0% | 153 | $0.00 | |
| 3075F | 0% | 338 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 131 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,274 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 585 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 336 | $0.00 |
| 3050F | 0% | 258 | $0.00 | |
| 1159F | 0% | 16,218 | $0.00 | |
| 3077F | 0% | 577 | $0.00 | |
| 3078F | 0% | 984 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13,719 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 58 | $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 officialMARSHEH, NICOLAS (OWNER/OPERATOR)