Medicaid Provider Spending

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

GI MEDICAL ASSOC PC

NPI: 1154311405 · SAINT CLAIR SHORES, MI 48081 · Gastroenterology Physician · NPI assigned 10/27/2005

$1.46M
Total Medicaid Paid
28,139
Total Claims
20,759
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCILUFFO, KATRINA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date10/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,260 $215K
2019 4,651 $242K
2020 4,155 $209K
2021 4,504 $247K
2022 4,127 $215K
2023 3,412 $190K
2024 3,030 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 9,915 4,622 $394K
99222 Initial hospital care, per day, moderate complexity 3,036 2,944 $226K
99221 3,619 3,515 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,719 2,662 $166K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,615 1,545 $97K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,189 1,104 $64K
99233 Prolong inpt eval add15 m 1,082 481 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 994 959 $42K
99223 Prolong inpt eval add15 m 347 342 $38K
99219 485 474 $33K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 223 223 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 300 300 $29K
99218 567 555 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 316 309 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 156 151 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 67 $4K
43235 67 66 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 77 76 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 43 42 $2K
99442 130 130 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 24 24 $633.84
99225 13 13 $280.44
3017F 155 155 $0.01