Physician
Paragon Health, P.C.
Paragon Health, P.C. was paid $389K by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoPARAGON HEALTH, P.C.
KALAMAZOO, MI 49048
KALAMAZOO, MI 49048
33aNPI1841254430assigned 04/12/2006
33bProvider typeGastroenterology Physician
28Total paid$389K
24GClaims7,115
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#19 of 67
Median peer was paid$89K
This provider vs. median4.4×
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 | 1,549 | $84K | |
| 2019 | 1,546 | $81K | |
| 2020 | 1,353 | $69K | |
| 2021 | 2,667 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,944 | 1,892 | $80K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 1,692 | 692 | $68K |
| 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 | 14% | 905 | 883 | $55K |
| 99254 | 14% | 599 | 579 | $54K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 734 | 708 | $44K |
| 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 | 8.8% | 389 | 387 | $34K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 5.0% | 299 | 290 | $19K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.5% | 145 | 139 | $14K |
| 43235 | 3.0% | 199 | 193 | $11K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 126 | 124 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 25 | 25 | $3K |
| 96415 | <1% | 58 | 57 | $756.78 |
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 officialDALAL, SANJAY (PRESIDENT)
Parent organizationPARAGON HEALTH, P.C.