Physician
Digestive Health Associates of Northern Michigan, P.C.
Digestive Health Associates of Northern Michigan, P.C. was paid $1.11M by Medicaid between Jan 2018 and Jun 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoDIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN, P.C.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1225104011assigned 11/26/2006
33bProvider typeGastroenterology Physician
28Total paid$1.11M
24GClaims19,141
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#7 of 67
Median peer was paid$89K
This provider vs. median12×
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 | 1,787 | $83K | |
| 2019 | 2,825 | $152K | |
| 2020 | 3,259 | $176K | |
| 2021 | 3,533 | $206K | |
| 2022 | 3,758 | $239K | |
| 2023 | 3,059 | $191K | |
| 2024incomplete | 920 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 4,152 | 4,082 | $252K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 18% | 1,460 | 1,457 | $196K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 2,475 | 2,462 | $143K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13% | 1,634 | 1,627 | $143K |
| 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 | 11% | 1,394 | 1,389 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 2,519 | 2,490 | $106K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 1,103 | 508 | $43K |
| 43248 | 2.7% | 389 | 386 | $30K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.7% | 308 | 306 | $30K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 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) | <1% | 2,832 | 2,801 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 127 | 126 | $8K |
5 more codes
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 officialEMINHIZER, GAIL (PRACTICE ADMINISTRATOR)