Physician
Pulmonary Clinics of Southern Michigan
Pulmonary Clinics of Southern Michigan was paid $562K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 27% of everything it billed.
33Billing provider infoPULMONARY CLINICS OF SOUTHERN MICHIGAN
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1992818207assigned 08/17/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$562K
24GClaims15,885
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Michigan
Rank by total paid#7 of 32
Median peer was paid$120K
This provider vs. median4.7×
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 | 2,378 | $75K | |
| 2019 | 2,238 | $72K | |
| 2020 | 1,697 | $56K | |
| 2021 | 2,267 | $92K | |
| 2022 | 2,568 | $96K | |
| 2023 | 2,445 | $90K | |
| 2024incomplete | 2,292 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 27% | 1,461 | 1,400 | $151K |
| 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 | 18% | 1,597 | 1,566 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,188 | 2,137 | $95K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 1,087 | 603 | $62K |
| 94729 | 8.8% | 2,937 | 2,913 | $49K | |
| 94726 | 8.3% | 2,677 | 2,659 | $46K | |
| 94010 | 6.8% | 3,392 | 3,345 | $38K | |
| 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 | 1.7% | 99 | 99 | $9K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 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 | <1% | 84 | 84 | $4K |
| 99406 | <1% | 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) | <1% | 226 | 222 | $419.21 |
1 more codes
| 94761 | 0% | 25 | $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 officialKNOX, DON (ADMINISTRATOR)