Physician
Warren Gastroenterology PC
Warren Gastroenterology PC was paid $314K by Medicaid between Jan 2018 and Mar 2019, across 46 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 24% of everything it billed.
33Billing provider infoWARREN GASTROENTEROLOGY PC
WARREN, MI 48093
WARREN, MI 48093
33aNPI1023211422assigned 06/06/2007
33bProvider typeInternal Medicine Physician
28Total paid$314K
24GClaims9,014
24DCodes billed46
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#238 of 816
Median peer was paid$70K
This provider vs. median4.5×
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 | 7,920 | $286K | |
| 2019 | 1,094 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 2,049 | 546 | $75K |
| 99223 | Prolong inpt eval add15 m | 23% | 711 | 552 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,815 | 1,674 | $69K |
| 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 | 15% | 854 | 800 | $46K |
| 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 | 4.4% | 179 | 169 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 235 | 217 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.2% | 117 | 114 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 64 | 58 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 74 | 69 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 291 | 252 | $2K |
| 43235 | <1% | 121 | 116 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 58 | 55 | $2K |
34 more codes
| 99284 | Emergency room visit (serious) | <1% | 33 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 66 | $1K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $1K |
| 99285 | Emergency room visit (most serious) | <1% | 17 | $1K |
| 90688 | <1% | 52 | $988.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 111 | $581.16 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 142 | $265.72 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 134 | $245.01 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $241.28 |
| 93000 | <1% | 39 | $236.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $168.56 |
| 82947 | <1% | 88 | $163.49 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 287 | $103.17 |
| 82565 | <1% | 48 | $70.08 | |
| 84520 | <1% | 59 | $61.12 | |
| 80051 | <1% | 27 | $55.20 | |
| 81000 | <1% | 31 | $54.02 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 52 | $49.68 |
| 80061 | Lipid panel | <1% | 21 | $37.59 |
| 80053 | Comprehensive metabolic panel | <1% | 40 | $34.29 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $26.93 |
| 83735 | <1% | 43 | $16.32 | |
| 84550 | <1% | 53 | $14.88 | |
| 84100 | <1% | 40 | $7.53 | |
| 3078F | 0% | 229 | $0.00 | |
| 3077F | 0% | 61 | $0.00 | |
| 84439 | 0% | 13 | $0.00 | |
| 3080F | 0% | 66 | $0.00 | |
| 3075F | 0% | 59 | $0.00 | |
| 3074F | 0% | 321 | $0.00 | |
| 84480 | 0% | 14 | $0.00 | |
| 3079F | 0% | 185 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 15 | $0.00 |
| 3044F | 0% | 14 | $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 officialIBRAHIM, GHAITH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pioneer Medical Associates P.C. | Clinton Twp, MI | $2.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.