Medicaid Provider Spending

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

SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC

NPI: 1316919616 · FARMINGTON, MI 48336 · Gastroenterology Physician · NPI assigned 02/02/2006

$748K
Total Medicaid Paid
16,977
Total Claims
13,307
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKATHAWA, JOLIAN (MANAGING MEMBER)
NPI Enumeration Date02/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,062 $87K
2019 1,897 $87K
2020 1,711 $81K
2021 2,131 $112K
2022 1,962 $95K
2023 3,478 $126K
2024 3,736 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 5,448 2,289 $222K
99222 Initial hospital care, per day, moderate complexity 2,591 2,506 $188K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,613 1,589 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,078 1,062 $73K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 594 594 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,159 1,144 $45K
99231 Subsequent hospital care, per day, straightforward or low complexity 933 592 $19K
99253 317 305 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 114 113 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 121 121 $8K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 30 30 $4K
99284 Emergency department visit for the evaluation and management, high severity 56 53 $4K
99223 Prolong inpt eval add15 m 29 27 $3K
99254 17 17 $1K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $1K
3078F 754 751 $0.05
3074F 851 849 $0.05
3079F 400 398 $0.01
3075F 172 171 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 32 31 $0.00
3077F 29 29 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 21 21 $0.00
G8432 Depression screening not documented, reason not given 567 564 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 25 25 $0.00