Not Medicare Enrolled

Dr. Todd Holtz, MD

Gastroenterology · Midland, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4230 BAY CITY RD, Midland, MI 48642
9898390750
In practice since 2005 (20 years)
NPI: 1982695375 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Holtz from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Holtz? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Holtz

Dr. Todd Holtz is a gastroenterology specialist in Midland, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Holtz performed 741 Medicare services across 718 unique beneficiaries.

Between the years covered by Open Payments, Dr. Holtz received a total of $5,245 from 34 pharmaceutical and/or device companies across 344 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Holtz is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 30% volume in MI $5,245 industry payments

Medicare Practice Summary

Medicare Utilization ↗
741
Medicare services
Top 30% in MI for gastroenterology
718
Unique beneficiaries
$109
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~37 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
139 $57 $120
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
89 $100 $180
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
81 $88 $525
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
70 $117 $250
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
50 $88 $620
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
50 $61 $135
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
44 $174 $665
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
35 $176 $615
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
33 $134 $825
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
30 $151 $790
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
29 $196 $990
Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm
A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length.
28 $111 $520
Endoscopic removal of foreign body from esophagus, stomach, or upper small bowel
A flexible endoscope is used to locate and remove a foreign object from the esophagus, stomach, or upper small intestine.
17 $129 $761
Balloon dilation of pancreatic or bile duct
A procedure using a flexible endoscope to widen a narrowed pancreatic or bile duct with a balloon. This helps restore the flow of digestive fluids.
16 $287 $890
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
15 $37 $81
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
15 $134 $300
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,245
Total received (2018-2024)
Avg $749/year across 7 years
Top 28% in MI for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
344
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,100 (97.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$145 (2.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$362
2023
$1,140
2022
$1,222
2021
$647
2020
$317
2019
$816
2018
$740

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
QOL Medical, LLC
$114
PFIZER INC.
$102
ABBVIE INC.
$94
Madrigal Pharmaceuticals
$28
Gilead Sciences, Inc.
$24
Top 3 companies account for 85.6% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$626
PFIZER INC.
$583
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$523
Gilead Sciences, Inc.
$453
AbbVie, Inc.
$437
Janssen Biotech, Inc.
$429
Takeda Pharmaceuticals U.S.A., Inc.
$366
AbbVie Inc.
$250
Celgene Corporation
$192
Ferring Pharmaceuticals Inc.
$129
UCB, Inc.
$129
Braintree Laboratories, Inc.
$124
QOL Medical, LLC
$114
GENZYME CORPORATION
$107
Ironwood Pharmaceuticals, Inc
$103
INTERCEPT PHARMACEUTICALS, INC.
$101
Intercept Pharmaceuticals, Inc.
$61
Merck Sharp & Dohme LLC
$56
Shire North American Group Inc
$54
Merck Sharp & Dohme Corporation
$48
Ardelyx, Inc.
$41
Daiichi Sankyo Inc.
$40
Janssen Scientific Affairs, LLC
$34
Shionogi Inc
$33
Amgen Inc.
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Madrigal Pharmaceuticals
$28
Celltrion USA Inc.
$27
AIMMUNE THERAPEUTICS, INC.
$20
Organon LLC
$19
NESTLE HEALTHCARE NUTRITION INC.
$18
Allergan Inc.
$16
Synergy Pharmaceuticals Inc
$14
Boston Scientific Corporation
$14
Top 3 companies account for 33.0% of all-time payments
Associated products mentioned in payments ›
AMJEVITA · APRISO · Amitiza · CIMZIA · CREON · CYLTEZO · Cimzia · Creon · DIFICID · DUPIXENT · ENTYVIO · Entyvio · GATTEX · GENERAL ENDOCHOICE · HADLIMA · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · LINZESS · Linzess · MAVYRET · MOTEGRITY · Mavyret · Mulpleta · OCALIVA · REBYOTA · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUTAB · TAKHZYRO · TRULANCE · Trintellix · Trulance · UCERIS · VIBERZI · VOWST · XELJANZ · XIFAXAN · XIFAXANIBSD · YUFLYMA · ZENPEP · ZEPOSIA · ZINPLAVA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a gastroenterology specialist in Midland?
Compare gastroenterologists in the Midland area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
14
Per 100K population
16.7
County median income
$77,538
Nearest hospital
HEALTHSOURCE SAGINAW
19.7 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment — Not enrolled N/A
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Holtz is a clinical cardiology specialist, with above-average Medicare volume (top 30% in MI), with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Holtz experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Holtz performed 139 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Holtz receive payments from pharmaceutical companies?
Yes. Dr. Holtz received a total of $5,245 from 34 companies across 344 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Holtz's costs compare to other gastroenterologists in Midland?
Dr. Holtz's average Medicare payment per service is $109. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Holtz) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →