Physician
Gastroenterology & Hepatology Associates of Midmichigan P.C.
Gastroenterology & Hepatology Associates of Midmichigan P.C. was paid $386K by Medicaid between Jan 2018 and Dec 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoGASTROENTEROLOGY & HEPATOLOGY ASSOCIATES OF MIDMICHIGAN P.C.
MIDLAND, MI 48640
MIDLAND, MI 48640
33aNPI1033204201assigned 10/04/2006
33bProvider typeGastroenterology Physician
28Total paid$386K
24GClaims7,767
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#20 of 67
Median peer was paid$89K
This provider vs. median4.3×
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 | 1,972 | $86K | |
| 2019 | 1,718 | $64K | |
| 2020 | 857 | $40K | |
| 2021 | 1,073 | $63K | |
| 2022 | 1,200 | $67K | |
| 2023 | 947 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 2,487 | 2,418 | $120K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 19% | 903 | 900 | $73K |
| 99243 | 13% | 677 | 676 | $49K | |
| 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 | 8.0% | 438 | 435 | $31K |
| 43235 | 6.0% | 316 | 308 | $23K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.0% | 456 | 246 | $19K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.3% | 710 | 317 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 172 | 167 | $14K |
| 99252 | 3.1% | 274 | 263 | $12K | |
| 99251 | 2.5% | 319 | 306 | $10K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.6% | 58 | 55 | $6K |
| 99253 | <1% | 55 | 54 | $4K |
7 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 27 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 176 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 389 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 202 | $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 officialHOLTZ, TODD (PRESIDENT)