Physician
Gi Medical Assoc PC
Gi Medical Assoc PC was paid $1.46M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 27% of everything it billed.
33Billing provider infoGI MEDICAL ASSOC PC
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
33aNPI1154311405assigned 10/27/2005
33bProvider typeGastroenterology Physician
28Total paid$1.46M
24GClaims28,139
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#5 of 67
Median peer was paid$89K
This provider vs. median16×
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 | 4,260 | $215K | |
| 2019 | 4,651 | $242K | |
| 2020 | 4,155 | $209K | |
| 2021 | 4,504 | $247K | |
| 2022 | 4,127 | $215K | |
| 2023 | 3,412 | $190K | |
| 2024incomplete | 3,030 | $146K |
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 | 27% | 9,915 | 4,622 | $394K |
| 99222 | Initial hospital care, per day, moderate complexity | 15% | 3,036 | 2,944 | $226K |
| 99221 | 13% | 3,619 | 3,515 | $196K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 2,719 | 2,662 | $166K |
| 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 | 6.6% | 1,615 | 1,545 | $97K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.4% | 2,189 | 1,104 | $64K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 1,082 | 481 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 994 | 959 | $42K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 347 | 342 | $38K |
| 99219 | 2.2% | 485 | 474 | $33K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.1% | 223 | 223 | $31K |
| 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 | 2.0% | 300 | 300 | $29K |
11 more codes
| 99218 | 1.9% | 567 | $28K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 316 | $27K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.0% | 156 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 67 | $4K |
| 43235 | <1% | 67 | $4K | |
| 99283 | Emergency room visit (moderate) | <1% | 77 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 43 | $2K |
| 99442 | <1% | 130 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 24 | $633.84 |
| 99225 | <1% | 13 | $280.44 | |
| 3017F | <1% | 155 | $0.01 |
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 officialCILUFFO, KATRINA (PRACTICE ADMINISTRATOR)