Physician
Ganka Spassova MD PLLC
Ganka Spassova MD PLLC was paid $288K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoGANKA SPASSOVA MD PLLC
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
33aNPI1255677266assigned 12/19/2012
33bProvider typeFamily Medicine Physician
28Total paid$288K
24GClaims7,184
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#281 of 826
Median peer was paid$98K
This provider vs. median2.9×
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 | 770 | $39K | |
| 2019 | 705 | $33K | |
| 2020 | 771 | $37K | |
| 2021 | 1,050 | $51K | |
| 2022 | 1,009 | $48K | |
| 2023 | 1,366 | $52K | |
| 2024incomplete | 1,513 | $27K |
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 | 50% | 1,805 | 1,761 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 2,205 | 2,088 | $119K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 471 | 451 | $17K |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | 24 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 258 | 249 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 30 | 13 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 127 | 127 | $863.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 321 | 318 | $851.13 |
| 82947 | <1% | 159 | 159 | $414.37 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | 39 | $215.10 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 69 | 64 | $165.83 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | 12 | $19.02 |
8 more codes
| 3008F | 0% | 628 | $0.00 | |
| 3074F | 0% | 43 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| 1160F | 0% | 590 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 264 | $0.00 |
| 3078F | 0% | 75 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 29 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
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 officialSPASSOVA, GANKA (SOLE MEMBER)