Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES OF MIDMICHIGAN P.C.

NPI: 1033204201 · MIDLAND, MI 48640 · Gastroenterology Physician · NPI assigned 10/04/2006

$386K
Total Medicaid Paid
7,767
Total Claims
7,038
Beneficiaries
19
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialHOLTZ, TODD (PRESIDENT)
NPI Enumeration Date10/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,972 $86K
2019 1,718 $64K
2020 857 $40K
2021 1,073 $63K
2022 1,200 $67K
2023 947 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,487 2,418 $120K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 903 900 $73K
99243 677 676 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 438 435 $31K
43235 316 308 $23K
99232 Subsequent hospital care, per day, moderate complexity 456 246 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 710 317 $16K
99222 Initial hospital care, per day, moderate complexity 172 167 $14K
99252 274 263 $12K
99251 319 306 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 58 55 $6K
99253 55 54 $4K
99244 Office or other outpatient consultation, moderate to high complexity 27 27 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 80 $2K
99223 Prolong inpt eval add15 m 13 13 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 176 172 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 389 388 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 202 201 $0.00