Physician
Plexus Gastro PLLC
Plexus Gastro PLLC was paid $227K by Medicaid between Dec 2023 and Dec 2024, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 26% of everything it billed.
33Billing provider infoPLEXUS GASTRO PLLC
DETROIT, MI 48228
DETROIT, MI 48228
33aNPI1518745017assigned 09/18/2023
33bProvider typeGastroenterology Physician
28Total paid$227K
24GClaims2,702
24DCodes billed9
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#25 of 67
Median peer was paid$89K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2023 | 38 | $3K | |
| 2024incomplete | 2,664 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 578 | 578 | $60K |
| 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 | 18% | 495 | 485 | $40K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 527 | 527 | $36K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 445 | 444 | $30K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 7.6% | 158 | 157 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 237 | 233 | $14K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.6% | 84 | 83 | $13K |
| 99443 | 4.2% | 118 | 115 | $10K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.2% | 60 | 60 | $7K |
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 officialHICKS, REGINA (CREDENTIALING MANAGER)