Medicaid Provider Spending

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

DIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN, P.C.

NPI: 1225104011 · TRAVERSE CITY, MI 49684 · Gastroenterology Physician · NPI assigned 11/26/2006

$1.11M
Total Medicaid Paid
19,141
Total Claims
18,372
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialEMINHIZER, GAIL (PRACTICE ADMINISTRATOR)
NPI Enumeration Date11/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,787 $83K
2019 2,825 $152K
2020 3,259 $176K
2021 3,533 $206K
2022 3,758 $239K
2023 3,059 $191K
2024 920 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,152 4,082 $252K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,460 1,457 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,475 2,462 $143K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,634 1,627 $143K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,394 1,389 $118K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,519 2,490 $106K
99232 Subsequent hospital care, per day, moderate complexity 1,103 508 $43K
43248 389 386 $30K
99244 Office or other outpatient consultation, moderate to high complexity 308 306 $30K
99222 Initial hospital care, per day, moderate complexity 209 203 $15K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 2,832 2,801 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 126 $8K
99205 Prolong outpt/office vis 53 52 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 54 54 $6K
99254 38 38 $4K
99152 367 365 $2K
43235 27 26 $2K