Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY CLINICS OF SOUTHERN MICHIGAN

NPI: 1992818207 · JACKSON, MI 49201 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 08/17/2006

$562K
Total Medicaid Paid
15,885
Total Claims
15,137
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKNOX, DON (ADMINISTRATOR)
NPI Enumeration Date08/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,378 $75K
2019 2,238 $72K
2020 1,697 $56K
2021 2,267 $92K
2022 2,568 $96K
2023 2,445 $90K
2024 2,292 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 1,461 1,400 $151K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,597 1,566 $102K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,188 2,137 $95K
99233 Prolong inpt eval add15 m 1,087 603 $62K
94729 2,937 2,913 $49K
94726 2,677 2,659 $46K
94010 3,392 3,345 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 99 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 39 15 $4K
G2064 Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 84 84 $4K
99406 73 69 $615.94
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) 226 222 $419.21
94761 25 25 $0.00