ST JOSEPH MERCY HOSPITAL

NPI: 1023432309 · SALINE, MI 48176 · Urgent Care Clinic/Center · NPI assigned 02/07/2014

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$6K

Total Medicaid Paid

266

Total Claims

254

Beneficiaries

Codes Billed

2018-01

First Month

2018-08

Last Month

Provider Details

Authorized Official	GUSHO, MICHAEL (CFO SE MI REGION)
NPI Enumeration Date	02/07/2014

Other providers sharing the same authorized official: GUSHO, MICHAEL

Provider	City	State	Total Paid
ST JOSEPH MERCY HOSPITAL	YPSILANTI	MI	$65.22M
ST JOSEPH MERCY HOSPITAL-SMHC	PONTIAC	MI	$51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION	LIVONIA	MI	$27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL	HOWELL	MI	$18.28M
MERCY PHYSICIAN NETWORK	MUSKEGON	MI	$11.14M
ST JOSEPH MERCY CHELSEA INC	CHELSEA	MI	$6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST	MUSKEGON	MI	$5.34M
MERCY SPECIALTY SERVICES	MUSKEGON	MI	$5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST	MUSKEGON	MI	$1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES	MUSKEGON	MI	$1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES	MUSKEGON	MI	$1.38M
SAINT MARY'S HEALTH SERVICES	GRAND RAPIDS	MI	$1.22M
MERCY WOMEN'S HEALTH SERVICES	MUSKEGON	MI	$1.08M
ST JOSEPH MERCY HOSPITAL	YPSILANTI	MI	$653K
CHELSEA COMMUNITY HOSPITAL	CHELSEA	MI	$597K
ST JOSEPH MERCY HOSPITAL	CANTON	MI	$474K
SJMHS ANESTHESIA SERVICES	YPSILANTI	MI	$459K
LAKES OBGYN SPECIALIST	NORTON SHORES	MI	$425K
CHELSEA COMMUNITY HOSPITAL	CHELSEA	MI	$223K
JOHNSON FAMILY CENTER FOR CANCER CARE	MUSKEGON	MI	$156K

Year	Claims	Total Paid
2018	266	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	168	157	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	86	85	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	12	12	$91.84