Physician
Troy Gastroenterology, PC
Troy Gastroenterology, PC was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoTROY GASTROENTEROLOGY, PC
EAST LANSING, MI 48823
EAST LANSING, MI 48823
33aNPI1699880591assigned 08/20/2006
33bProvider typeColon & Rectal Surgery Physician
28Total paid$2.79M
24GClaims44,558
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Colon & Rectal Surgery Physician providers in Michigan
Rank by total paid#2 of 13
Median peer was paid$43K
This provider vs. median64×
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 | 5,934 | $351K | |
| 2019 | 6,501 | $369K | |
| 2020 | 7,102 | $411K | |
| 2021 | 7,651 | $489K | |
| 2022 | 6,824 | $436K | |
| 2023 | 6,458 | $434K | |
| 2024incomplete | 4,088 | $296K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 8,945 | 8,572 | $523K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 13% | 2,741 | 2,701 | $353K |
| 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 | 11% | 3,456 | 3,440 | $299K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.5% | 4,604 | 4,541 | $265K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 5,637 | 5,477 | $228K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.9% | 2,609 | 2,576 | $221K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.5% | 5,577 | 2,550 | $209K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.5% | 3,024 | 2,839 | $208K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 2,234 | 2,216 | $128K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 1,136 | 1,066 | $111K |
| 43235 | 3.1% | 1,483 | 1,453 | $85K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.7% | 808 | 798 | $75K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 869 | $21K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 158 | $16K |
| 46600 | <1% | 261 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 320 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 510 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 27 | $2K |
| 43248 | <1% | 12 | $839.17 | |
| 99442 | <1% | 47 | $648.90 | |
| 99441 | <1% | 88 | $599.87 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $82.95 |
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 officialMICHALEK, MARY (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Anesthesia PLLC | Macomb, MI | $165K |
| Macomb Endoscopy Center, PLC | Macomb, MI | $643.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.