Physician
Tri-County Gastroenterology, PC
Tri-County Gastroenterology, PC was paid $975K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 17% of everything it billed.
33Billing provider infoTRI-COUNTY GASTROENTEROLOGY, PC
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
33aNPI1285695932assigned 03/31/2006
33bProvider typeGastroenterology Physician
28Total paid$975K
24GClaims12,572
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#8 of 67
Median peer was paid$89K
This provider vs. median11×
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 | 1,829 | $134K | |
| 2019 | 2,061 | $157K | |
| 2020 | 1,959 | $143K | |
| 2021 | 2,196 | $175K | |
| 2022 | 1,850 | $133K | |
| 2023 | 1,652 | $140K | |
| 2024incomplete | 1,025 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 2,320 | 2,308 | $162K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 15% | 972 | 971 | $142K |
| 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 | 14% | 2,110 | 2,079 | $138K |
| 99255 | 10% | 927 | 915 | $100K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.7% | 837 | 834 | $75K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 1,608 | 936 | $66K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 460 | 451 | $48K |
| 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 | 4.9% | 512 | 512 | $48K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.6% | 456 | 455 | $45K |
| 99245 | 4.6% | 428 | 424 | $45K | |
| 43235 | 4.4% | 646 | 643 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 380 | 378 | $18K |
7 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 549 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.1% | 122 | $11K |
| 99254 | 1.0% | 109 | $10K | |
| 99205 | Prolong outpt/office vis | <1% | 68 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 36 | $3K |
| 99443 | <1% | 20 | $1K | |
| 99442 | <1% | 12 | $450.21 |
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 officialKOVAN, BRUCE (PRESIDENT / PHYSICIAN)