Active NPI 1104956895 Individual Practitioner Female Practitioner

Dr. Andrea Jo Goethals , DO

Surgery • Grand Blanc, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Goethals, DO is a certified Surgery practicing in Grand Blanc, MI. With approximately 24 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2002, Dr. Goethals delivers high-quality medical care to the local community at 8235 HOLLY RD.

Dr. Goethals maintains professional affiliations with Genesys Practice Partners Inc, Henry Ford Health Genesys Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8235 Holly Rd
Suite 1

Grand Blanc, MI 484392441

Telephone 8106949700

Fax 8106949940

Associated Practice Facility / Clinic

🏢 Child And Adult Medicine Of Grand Blanc Facility NPI 1912052010

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grand Blanc, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +2.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

36 Specialists

Practicing in Grand Blanc, MI (1479 Statewide)

Telehealth Adoption Rate

2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goethals (24 Years) 24 Yrs

Grand Blanc Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	24	$90.65	$75.28
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$100.34	$86.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$211.64	$159.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$174.66	$125.14
99221 Initial hospital inpatient care per day, typically 30 minutes	14	12	$132.00	$79.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$141.85	$105.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$142.50	$121.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$85.99	$76.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$161.99	$125.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$208.73	$159.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	21	$85.99	$68.78
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$90.00	$87.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$132.63	$123.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$161.99	$130.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$202.43	$151.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$239.99	$191.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$133.18	$108.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$90.00	$88.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$202.83	$156.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$130.00	$125.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$131.00	$104.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$90.17	$72.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$131.00	$104.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.74	$159.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$90.00	$72.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$125.00	$104.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$175.00	$137.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$131.86	$106.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	42	$90.11	$71.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$201.28	$159.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$90.57	$71.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$172.94	$131.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$131.22	$104.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$131.00	$104.23
47562 Removal of gallbladder using an endoscope	23	23	$1163.35	$644.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	47	$87.90	$70.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	29	$84.32	$71.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$194.62	$159.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$129.68	$103.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	16	$46.04	$38.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$130.72	$104.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$160.22	$133.98
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$118.00	$99.57
47562 Removal of gallbladder using an endoscope	13	13	$1098.23	$623.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$191.27	$157.94
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$85.20	$69.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	41	$82.98	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$126.48	$101.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	29	$45.00	$36.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$158.03	$133.60
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$117.11	$99.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$130.62	$99.94
47562 Removal of gallbladder using an endoscope	16	16	$1104.19	$612.76
19301 Partial removal of breast	14	14	$1080.86	$616.00
38900 Lymph node imaging during surgery	11	11	$239.39	$138.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$751.93	$215.89

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101015223

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

114995665 (MI)

Commercial Insurance / Payer ID Health Plan Of Michigan

46149 (MI)

Commercial Insurance / Payer ID Health Alliance Plan

6U10108 (MI)

Commercial Insurance / Payer ID Health Plus

01007313 (MI)

Commercial Insurance / Payer ID Blue Cross

0252511984 (MI)

Commercial Insurance / Payer ID Blue Care Network

0252511984 (MI)

Commercial Insurance / Payer ID Blue Cross Medicare Advan

0N89830006 (MI)

Commercial Insurance / Payer ID Genesee Health Plan

01007313 (MI)

Commercial Insurance / Payer ID Aetna

382626202 (MI)

Hospital & Practice Group Affiliations

Henry Ford Health Genesys Hospital

420 S Saginaw St, Flint, MI 485021803

Phone: 8102323522

Genesys Practice Partners Inc

1 Genesys Pkwy, Grand Blanc, MI 484398065

Phone: 8106067550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Christopher Ash , DO

Surgery

NPI 1295751550

Doctor of Osteopathic Medicine (D.O.)

Dr. John Vance , DO

Surgery

NPI 1427074772

Doctor of Osteopathic Medicine (D.O.)

Dr. Carl Gutekunst , DO

Surgery

NPI 1821013855

Doctor of Osteopathic Medicine (D.O.)

Dr. Alfred Austin , DO

Surgery

NPI 1841678133

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 29, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2009

Registered at 8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 484392441 (Tel: 8106949700)

📍

Updated Business Mailing Address April 29, 2009

Registered at 8235 HOLLY RD, SUITE 1, GRAND BLANC, MI 484392441 (Tel: 8106949700)

👤

Provider Name / Credentials Updated April 29, 2009

Recorded as ANDREA GOETHALS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2009

Surgery (License #5101015223 in MI)

🟢

Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104956895

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 06, 2007

Last Update: April 29, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8235 Holly Rd, Suite 1

Grand Blanc, MI 484392441

Phone: 8106949700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.