Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northern Michigan Gastroenterology PLC

Northern Michigan Gastroenterology PLC was paid $2K by Medicaid between Feb 2018 and Aug 2023, across 3 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.

33Billing provider infoNORTHERN MICHIGAN GASTROENTEROLOGY PLC
TRAVERSE CITY, MI 49684
33aNPI1659376077assigned 06/14/2005
28Total paid$2K
24GClaims40
24DCodes billed3
24AFirst – last monthFeb 2018 – Aug 2023
Compared with peers

Next to other Gastroenterology Physician providers in Michigan

Rank by total paid#55 of 67
Median peer was paid$89K
This provider vs. median0.0×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
201813$662.22
202115$610.69
202312$683.67
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 35% 12 12 $683.67
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 34% 13 12 $662.22
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 15 14 $610.69

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 officialMILLIKEN, JOHN (PRESIDENT)