GRAND TRAVERSE INTERNISTS, PC
NPI: 1578559365
· TRAVERSE CITY, MI 49684
· Internal Medicine Physician
· NPI assigned 09/27/2005
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | PACER, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 09/27/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$6K |
| 2019 |
223 |
$10K |
| 2020 |
204 |
$10K |
| 2021 |
155 |
$11K |
| 2022 |
411 |
$21K |
| 2023 |
672 |
$28K |
| 2024 |
438 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
902 |
869 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
788 |
735 |
$43K |
| 95251 |
|
141 |
139 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
286 |
273 |
$1K |
| 90674 |
|
26 |
26 |
$590.28 |
| 90686 |
|
30 |
30 |
$456.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$378.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$155.18 |