Physician
Grand Traverse Womens Clinic PLLC
Grand Traverse Womens Clinic PLLC was paid $6.65M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 21% of everything it billed.
33Billing provider infoGRAND TRAVERSE WOMENS CLINIC PLLC
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1336194166assigned 05/23/2006
33bProvider typeObstetrics Physician
28Total paid$6.65M
24GClaims61,744
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in Michigan
Rank by total paid#2 of 9
Median peer was paid$36K
This provider vs. median187×
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 | 8,385 | $787K | |
| 2019 | 9,002 | $757K | |
| 2020 | 9,070 | $909K | |
| 2021 | 9,073 | $970K | |
| 2022 | 8,128 | $928K | |
| 2023 | 9,717 | $1.18M | |
| 2024incomplete | 8,369 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 21% | 1,897 | 1,873 | $1.41M |
| 59426 | 20% | 1,560 | 1,542 | $1.32M | |
| 59514 | 11% | 1,389 | 1,018 | $749K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 10,808 | 9,641 | $512K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 6.7% | 2,326 | 1,339 | $448K |
| 59430 | 5.4% | 1,794 | 1,781 | $362K | |
| 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 | 4.4% | 4,276 | 3,926 | $292K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.8% | 3,647 | 3,388 | $188K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 2.5% | 187 | 186 | $169K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 2,773 | 2,732 | $165K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.4% | 2,040 | 2,031 | $163K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.1% | 2,173 | 2,086 | $139K |
31 more codes
| 76830 | Ultrasound, transvaginal | 1.9% | 1,892 | $128K |
| 59425 | 1.6% | 246 | $108K | |
| 59025 | Fetal non-stress test | 1.0% | 2,509 | $67K |
| 90715 | <1% | 1,971 | $64K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 798 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 711 | $56K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 497 | $48K |
| 58300 | <1% | 672 | $34K | |
| 80305 | <1% | 3,137 | $27K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,622 | $26K |
| 99406 | <1% | 3,404 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 490 | $19K |
| 90756 | <1% | 528 | $14K | |
| 81025 | <1% | 1,865 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,403 | $11K |
| 90678 | <1% | 25 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 147 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 136 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 36 | $3K |
| 58301 | <1% | 53 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $3K |
| 76857 | <1% | 64 | $2K | |
| 90661 | <1% | 46 | $2K | |
| 57454 | <1% | 14 | $1K | |
| 99408 | <1% | 67 | $1K | |
| 76820 | <1% | 47 | $1K | |
| 90658 | <1% | 85 | $1K | |
| 96127 | <1% | 375 | $1K | |
| 99459 | <1% | 66 | $622.64 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $192.70 |
| 0502F | 0% | 2,922 | $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 officialMADION, TIMOTHY (PRESIDENT)