Active NPI 1376500496 Individual Practitioner Female Practitioner

Dr. Susan Seman , DO

Surgery • West Bloomfield, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Seman, DO is a certified Surgery practicing in West Bloomfield, MI. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Seman delivers high-quality medical care to the local community at 6900 ORCHARD LAKE RD.

Dr. Seman is affiliated with United Trauma Care Plc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, removal of muscle and/or tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6900 Orchard Lake Rd
Suite 315

West Bloomfield, MI 483223405

Telephone 2484703916

Associated Practice Facility / Clinic

🏢 Michigan Womens Health Institute,pc Facility NPI 1144206848

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Bloomfield, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +6.4 yrs vs City Avg

City Avg: 26.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in West Bloomfield, MI (1479 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seman (33 Years) 33 Yrs

West Bloomfield Specialty Average (26.6 Years) 26.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	229	74	$139.08	$78.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	139	44	$75.00	$50.06
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	83	12	$100.00	$57.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	59	$255.23	$131.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$379.26	$170.57
99238 Hospital discharge day management, 30 minutes or less	25	25	$190.00	$81.15
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	14	$500.00	$157.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	317	85	$138.15	$80.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	149	34	$75.00	$51.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	74	$377.60	$176.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	49	$255.27	$133.02
99238 Hospital discharge day management, 30 minutes or less	16	16	$190.00	$81.95
99285 Emergency department visit for life threatening or functioning severity	15	15	$470.00	$182.90
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	12	11	$500.00	$153.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	247	67	$139.01	$71.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	214	60	$75.00	$39.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	80	$255.39	$138.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$378.92	$197.70
99238 Hospital discharge day management, 30 minutes or less	23	23	$190.00	$73.10
99219 Hospital observation care, typically 50 minutes	13	13	$300.00	$135.65
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$1004.17	$319.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	69	$139.81	$73.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	195	54	$75.00	$39.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	69	$255.53	$140.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$379.33	$202.37
99238 Hospital discharge day management, 30 minutes or less	42	42	$190.00	$72.75
99219 Hospital observation care, typically 50 minutes	18	18	$295.83	$138.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$68.85	$37.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	267	88	$139.23	$75.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	247	77	$75.00	$41.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	63	$255.07	$145.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	49	$378.63	$211.83
99238 Hospital discharge day management, 30 minutes or less	46	46	$190.00	$75.85
99219 Hospital observation care, typically 50 minutes	24	24	$294.79	$141.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	550	181	$75.00	$41.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	158	137	$255.63	$142.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	51	$139.58	$76.03
99238 Hospital discharge day management, 30 minutes or less	50	50	$190.00	$76.08
99219 Hospital observation care, typically 50 minutes	41	37	$295.12	$142.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$379.53	$205.36
11042 Removal of skin and tissue, 20.0 sq cm or less	31	12	$200.00	$59.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$67.38	$26.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	12	$500.00	$153.59
99217 Hospital observation care on day of discharge	14	14	$190.00	$76.12
99220 Hospital observation care, typically 70 minutes	13	13	$382.69	$193.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	583	188	$75.00	$43.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	280	92	$138.88	$75.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	189	172	$255.42	$155.29
99238 Hospital discharge day management, 30 minutes or less	67	66	$190.00	$74.33
11042 Removal of skin and tissue, 20.0 sq cm or less	53	23	$200.00	$66.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	47	$378.47	$213.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	31	$71.19	$27.84
99219 Hospital observation care, typically 50 minutes	38	36	$292.11	$143.39
97597 Removal of tissue from wound, 20.0 sq cm or less	14	11	$75.00	$25.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	14	12	$500.71	$170.05
99220 Hospital observation care, typically 70 minutes	13	12	$386.15	$195.82
43246 Insertion of stomach tube using a flexible endoscope	12	12	$550.00	$162.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	654	209	$75.00	$47.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	227	195	$255.59	$169.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	71	$137.83	$81.36
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	89	16	$104.49	$73.88
97597 Removal of tissue from wound, 20.0 sq cm or less	65	15	$75.00	$29.47
99238 Hospital discharge day management, 30 minutes or less	52	51	$190.00	$74.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	21	$73.37	$31.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$378.17	$225.86
99219 Hospital observation care, typically 50 minutes	30	28	$292.50	$148.87
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	19	18	$497.89	$187.13
11042 Removal of skin and tissue, 20.0 sq cm or less	17	11	$200.00	$73.31
99220 Hospital observation care, typically 70 minutes	15	15	$385.00	$204.87
31600 Opening of windpipe through neck for insertion of breathing tube	13	13	$1000.00	$492.72

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI SS012179

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4224306 (MI)

Commercial Insurance / Payer ID Blue Cross Traditional

0256306825 (MI)

Hospital & Practice Group Affiliations

United Trauma Care Plc

6071 W Outer Dr, Detroit, MI 482352624

Phone: 3139663300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners

Dr. Michael Garcia , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063459055

Doctor of Medicine (M.D.)

Tressa Konnie

Speech-Language Pathologist

NPI 1114494556

Dr. Deborah Charfoos , MD

Obstetrics & Gynecology

NPI 1154316776

Doctor of Medicine (M.D.)

Heather Thomas , RPH

Pharmacist

NPI 1164795076

Registered Pharmacist

Eva Thompson

Physical Therapist

NPI 1184125452

Romualda Sikora-Klak

Physical Therapist

NPI 1215438312

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address November 07, 2019

Registered at 6900 ORCHARD LAKE RD, STE 204, WEST BLOOMFIELD, MI 483223425 (Tel: 2484703916)

✅

NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2014

Registered at 6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 483223405 (Tel: 2484703916)

📍

Updated Business Mailing Address January 15, 2014

Registered at 1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 480831189 (Tel: 2485815974)

👤

Provider Name / Credentials Updated January 15, 2014

Recorded as SUSAN SEMAN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Surgery (License #SS012179 in MI)

🟢

Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376500496

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2006

Last Update: November 07, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6900 Orchard Lake Rd, Ste 204

West Bloomfield, MI 483223425

Phone: 2484703916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.