Physician
Great Lakes Gastroenterology PLLC
Great Lakes Gastroenterology PLLC was paid $541K by Medicaid between Jan 2018 and Oct 2023, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoGREAT LAKES GASTROENTEROLOGY PLLC
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
33aNPI1780691899assigned 08/02/2006
33bProvider typeGastroenterology Physician
28Total paid$541K
24GClaims8,390
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#17 of 67
Median peer was paid$89K
This provider vs. median6.1×
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 | 1,590 | $90K | |
| 2019 | 1,259 | $72K | |
| 2020 | 1,122 | $66K | |
| 2021 | 1,520 | $110K | |
| 2022 | 1,713 | $115K | |
| 2023 | 1,186 | $87K |
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 | 23% | 1,906 | 1,887 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,859 | 1,844 | $84K |
| 99243 | 11% | 898 | 897 | $60K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 708 | 705 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 914 | 911 | $57K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.9% | 926 | 925 | $53K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 7.6% | 300 | 297 | $41K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.1% | 389 | 389 | $38K |
| 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 | 1.9% | 113 | 112 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 133 | 82 | $5K |
| 99254 | <1% | 39 | 38 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 28 | 28 | $3K |
4 more codes
| 99252 | <1% | 41 | $2K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 61 | $172.77 |
| 99152 | <1% | 61 | $14.26 | |
| 99153 | Mod sedat endo service >5yrs | 0% | 14 | $0.00 |
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 officialJONES, BRUCE (MEDICAL DOCTOR/PARTNER)