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ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
NPI: 1720669880
· LAKE ORION, MI 48360
· Obstetrics & Gynecology Physician
· NPI assigned 04/19/2021
$158K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ZAIDAN, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
273 |
$17K |
| 2023 |
1,021 |
$59K |
| 2024 |
1,383 |
$82K |
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 |
1,311 |
1,186 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
966 |
890 |
$49K |
| 76830 |
Ultrasound, transvaginal |
116 |
115 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
116 |
115 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 81002 |
|
130 |
99 |
$296.62 |