Physician
South Oakland Gastroenterology Associates PC
South Oakland Gastroenterology Associates PC was paid $748K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.
33Billing provider infoSOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC
FARMINGTON, MI 48336
FARMINGTON, MI 48336
33aNPI1316919616assigned 02/02/2006
33bProvider typeGastroenterology Physician
28Total paid$748K
24GClaims16,977
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#14 of 67
Median peer was paid$89K
This provider vs. median8.4×
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 | 2,062 | $87K | |
| 2019 | 1,897 | $87K | |
| 2020 | 1,711 | $81K | |
| 2021 | 2,131 | $112K | |
| 2022 | 1,962 | $95K | |
| 2023 | 3,478 | $126K | |
| 2024incomplete | 3,736 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 5,448 | 2,289 | $222K |
| 99222 | Initial hospital care, per day, moderate complexity | 25% | 2,591 | 2,506 | $188K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 1,613 | 1,589 | $95K |
| 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 | 9.7% | 1,078 | 1,062 | $73K |
| 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 | 7.5% | 594 | 594 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 1,159 | 1,144 | $45K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.6% | 933 | 592 | $19K |
| 99253 | 2.6% | 317 | 305 | $19K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 114 | 113 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 121 | 121 | $8K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 30 | 30 | $4K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 56 | 53 | $4K |
13 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 29 | $3K |
| 99254 | <1% | 17 | $1K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $1K |
| 3078F | <1% | 754 | $0.05 | |
| 3074F | <1% | 851 | $0.05 | |
| 3079F | <1% | 400 | $0.01 | |
| 3075F | <1% | 172 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 32 | $0.00 |
| 3077F | 0% | 29 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 21 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 567 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 25 | $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 officialKATHAWA, JOLIAN (MANAGING MEMBER)