Physician
Mid Michigan Gastroenterology Associates
Mid Michigan Gastroenterology Associates was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 21% of everything it billed.
33Billing provider infoMID MICHIGAN GASTROENTEROLOGY ASSOCIATES
FLINT, MI 48507
FLINT, MI 48507
33aNPI1003244120assigned 10/29/2013
33bProvider typeGastroenterology Physician
28Total paid$1.55M
24GClaims23,466
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#4 of 67
Median peer was paid$89K
This provider vs. median17×
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 | 1,613 | $115K | |
| 2019 | 1,927 | $142K | |
| 2020 | 2,109 | $140K | |
| 2021 | 3,581 | $226K | |
| 2022 | 4,273 | $254K | |
| 2023 | 5,031 | $336K | |
| 2024incomplete | 4,932 | $339K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 21% | 4,927 | 4,869 | $323K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 6,047 | 2,353 | $239K |
| 99222 | Initial hospital care, per day, moderate complexity | 15% | 3,293 | 3,134 | $225K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 8.9% | 1,438 | 1,417 | $138K |
| 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 | 8.8% | 2,114 | 2,059 | $136K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.8% | 1,439 | 1,432 | $136K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.9% | 815 | 814 | $107K |
| 99223 | Prolong inpt eval add15 m | 5.9% | 956 | 918 | $92K |
| 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 | 4.6% | 824 | 818 | $71K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 335 | 335 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 287 | 156 | $18K |
| 99254 | <1% | 111 | 106 | $10K |
7 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 95 | $9K |
| 43450 | <1% | 352 | $8K | |
| 43235 | <1% | 117 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 178 | $6K |
| 99219 | <1% | 92 | $5K | |
| 1036F | 0% | 34 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $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 officialELBEDAWI, MAMOON (OWNER)