Medicaid Provider Spending

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

PLEXUS GASTRO PLLC

NPI: 1518745017 · DETROIT, MI 48228 · Gastroenterology Physician · NPI assigned 09/18/2023

$227K
Total Medicaid Paid
2,702
Total Claims
2,682
Beneficiaries
9
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHICKS, REGINA (CREDENTIALING MANAGER)
NPI Enumeration Date09/18/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 38 $3K
2024 2,664 $223K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 578 578 $60K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 495 485 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 527 527 $36K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 445 444 $30K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 158 157 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 237 233 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 84 83 $13K
99443 118 115 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 60 60 $7K