Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $4,000 | 2 | 58.7% |
| Travel and Lodging | $2,121 | 21 | 31.1% |
| Food and Beverage | $689.81 | 22 | 10.1% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Intuitive Surgical, Inc. | $6,777 | 42 | $0 (2021) |
| Novo Nordisk Inc | $11.88 | 1 | $0 (2018) |
| Pacira Pharmaceuticals Incorporated | $11.60 | 1 | $0 (2021) |
| AbbVie, Inc. | $10.36 | 1 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2021 | $53.03 | 4 | Intuitive Surgical, Inc. ($41.43) |
| 2020 | $6,110 | 36 | Intuitive Surgical, Inc. ($6,110) |
| 2019 | $625.31 | 3 | Intuitive Surgical, Inc. ($625.31) |
| 2018 | $11.88 | 1 | Novo Nordisk Inc ($11.88) |
| 2017 | $10.36 | 1 | AbbVie, Inc. ($10.36) |
All Payment Transactions
45 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/07/2021 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $13.42 | General |
| Category: SURGERY | ||||||
| 03/03/2021 | Pacira Pharmaceuticals Incorporated | Exparel (Drug) | Food and Beverage | In-kind items and services | $11.60 | General |
| Category: Pain Management | ||||||
| 01/07/2021 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $14.96 | General |
| Category: SURGERY | ||||||
| 01/07/2021 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $13.05 | General |
| Category: SURGERY | ||||||
| 11/03/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $22.99 | General |
| Category: SURGERY | ||||||
| 10/30/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $59.98 | General |
| Category: SURGERY | ||||||
| 10/13/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Education | In-kind items and services | $1,000.00 | General |
| Category: SURGERY | ||||||
| 09/29/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $186.94 | General |
| Category: SURGERY | ||||||
| 09/11/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $205.70 | General |
| Category: SURGERY | ||||||
| 09/11/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $179.85 | General |
| Category: SURGERY | ||||||
| 09/11/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $19.00 | General |
| Category: SURGERY | ||||||
| 09/11/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $19.00 | General |
| Category: SURGERY | ||||||
| 03/27/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $34.77 | General |
| Category: SURGERY | ||||||
| 03/27/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $20.89 | General |
| Category: SURGERY | ||||||
| 03/27/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $13.74 | General |
| Category: SURGERY | ||||||
| 03/25/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $40.64 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $80.61 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $66.85 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $28.87 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $24.56 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $14.29 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $4.27 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $4.20 | General |
| Category: SURGERY | ||||||
| 03/06/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $4.13 | General |
| Category: SURGERY | ||||||
| 01/28/2020 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Travel and Lodging | In-kind items and services | $27.00 | General |
| Category: SURGERY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 81 | 85 | $34,582 | $6,826 |
| 2022 | 6 | 154 | 154 | $67,030 | $16,906 |
| 2021 | 11 | 217 | 222 | $86,345 | $25,325 |
| 2020 | 3 | 51 | 51 | $10,791 | $4,041 |
All Medicare Procedures & Services
24 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 24 | 24 | $16,377 | $3,041 | 18.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 32 | 32 | $7,744 | $2,083 | 26.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 12 | 16 | $2,880 | $904.50 | 31.4% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 13 | 13 | $7,581 | $798.28 | 10.5% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 48 | 48 | $11,616 | $3,845 | 33.1% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 20 | 20 | $14,100 | $3,782 | 26.8% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2022 | 38 | 38 | $22,534 | $3,575 | 15.9% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 21 | 21 | $7,560 | $2,269 | 30.0% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2022 | 13 | 13 | $6,474 | $2,260 | 34.9% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 14 | 14 | $4,746 | $1,174 | 24.7% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 23 | 23 | $16,215 | $4,327 | 26.7% |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | Facility | 2021 | 29 | 31 | $18,383 | $3,361 | 18.3% |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | Facility | 2021 | 13 | 13 | $10,881 | $3,306 | 30.4% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 38 | 38 | $7,480 | $3,034 | 40.6% |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Facility | 2021 | 14 | 14 | $6,972 | $2,488 | 35.7% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 21 | 21 | $6,060 | $2,347 | 38.7% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 26 | 26 | $8,814 | $2,250 | 25.5% |
| 45378 | Diagnostic examination of the colon (large bowel) using an endoscope(colonoscopy); high risk | Facility | 2021 | 12 | 12 | $5,976 | $1,598 | 26.7% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 16 | 19 | $2,610 | $1,332 | 51.0% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 12 | 12 | $2,512 | $1,097 | 43.7% |
| 77001 | Fluoroscopic guidance for insertion, replacement or removal of central venous access device | Facility | 2021 | 13 | 13 | $442.00 | $186.81 | 42.3% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 19 | 19 | $5,415 | $1,820 | 33.6% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 21 | 21 | $3,990 | $1,587 | 39.8% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 11 | 11 | $1,386 | $634.42 | 45.8% |
About Dr. Michael Bittles, MD
Dr. Michael Bittles, MD is a Surgery healthcare provider based in Grafton, North Dakota. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/05/2006. The National Provider Identifier (NPI) number assigned to this provider is 1558457713.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Michael Bittles, MD has received a total of $6,811 in payments from pharmaceutical and medical device companies, with $53.03 received in 2021. These payments were reported across 45 transactions from 4 companies. The most common payment nature is "Education" ($4,000).
As a Medicare-enrolled provider, Bittles has provided services to 503 Medicare beneficiaries, totaling 512 services with total Medicare billing of $53,099. Data is available for 4 years (2020–2023), covering 24 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Other Specialties Surgery
- Location Grafton, ND
- Active Since 10/05/2006
- Last Updated 10/11/2023
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1558457713
Products in Payments
- Da Vinci Surgical System (Device) $6,777
- Victoza (Drug) $11.88
- Exparel (Drug) $11.60
- Humira (Biological) $10.36
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Surgery Doctors in Grafton
Dr. Abhishek Sundaram, M.b.b.s, M.B.B.S
Surgery — Payments: $7,892
Michael Erickson, Md, MD
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James Larson, M.d, M.D
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Nicholas Ward, M.d, M.D
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Gwenn Pavlovitz, M.d, M.D
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Dr. Isidro Amigo, D.o, D.O
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