Physician
Gastrointestinal Specialists PC
Gastrointestinal Specialists PC was paid $198K by Medicaid between Mar 2018 and Aug 2024, across 11 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 42% of everything it billed.
33Billing provider infoGASTROINTESTINAL SPECIALISTS PC
TROY, MI 48084
TROY, MI 48084
33aNPI1780750125assigned 11/28/2006
33bProvider typeGastroenterology Physician
28Total paid$198K
24GClaims2,980
24DCodes billed11
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#26 of 67
Median peer was paid$89K
This provider vs. median2.2×
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 | 421 | $31K | |
| 2019 | 237 | $19K | |
| 2020 | 159 | $10K | |
| 2021 | 429 | $31K | |
| 2022 | 575 | $37K | |
| 2023 | 689 | $41K | |
| 2024incomplete | 470 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 42% | 795 | 777 | $82K |
| 99222 | Initial hospital care, per day, moderate complexity | 19% | 516 | 502 | $37K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 846 | 496 | $35K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 14% | 448 | 443 | $27K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.7% | 182 | 178 | $7K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.2% | 114 | 111 | $6K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 13 | 12 | $839.45 |
| 43235 | <1% | 12 | 12 | $704.12 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 25 | 24 | $613.85 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $474.76 |
| G8432 | Depression screening not documented, reason not given | 0% | 16 | 16 | $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 officialALEXANDER, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Fred Finch Youth Center | Spring Valley, CA | $1.95M |
| Fred Finch Youth Center | San Marcos, CA | $672K |
| DR. Joanna Barnett & Associates INC | Sterling, VA | $427K |
| Fred Finch Youth Center | Chula Vista, CA | $406K |
| Thomas G Fagot DDS PC | Lexington, NE | $255K |
| Fred Finch Youth Center | Lemon Grove, CA | $135K |
| Fred Finch Youth Center | Spring Valley, CA | $91K |
| Fred Finch Youth Center | Spring Valley, CA | $49K |
| Fred Finch Youth Center | Oakland, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.