Medicaid Provider Spending

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

TRI-COUNTY GASTROENTEROLOGY, PC

NPI: 1285695932 · CLINTON TOWNSHIP, MI 48036 · Gastroenterology Physician · NPI assigned 03/31/2006

$975K
Total Medicaid Paid
12,572
Total Claims
11,615
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOVAN, BRUCE (PRESIDENT / PHYSICIAN)
NPI Enumeration Date03/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,829 $134K
2019 2,061 $157K
2020 1,959 $143K
2021 2,196 $175K
2022 1,850 $133K
2023 1,652 $140K
2024 1,025 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,320 2,308 $162K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 972 971 $142K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,110 2,079 $138K
99255 927 915 $100K
45380 Colonoscopy, flexible; with biopsy, single or multiple 837 834 $75K
99232 Subsequent hospital care, per day, moderate complexity 1,608 936 $66K
99223 Prolong inpt eval add15 m 460 451 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 512 512 $48K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 456 455 $45K
99245 428 424 $45K
43235 646 643 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 380 378 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity 549 355 $12K
99244 Office or other outpatient consultation, moderate to high complexity 122 117 $11K
99254 109 105 $10K
99205 Prolong outpt/office vis 68 65 $7K
99222 Initial hospital care, per day, moderate complexity 36 35 $3K
99443 20 20 $1K
99442 12 12 $450.21