Physician
Saint Mary's Health Services
Saint Mary's Health Services was paid $63K by Medicaid between Oct 2018 and Nov 2024, across 7 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 47% of everything it billed.
33Billing provider infoSAINT MARY'S HEALTH SERVICES
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1063917425assigned 03/28/2018
33bProvider typeHospice and Palliative Medicine (Family Medicine) Physician
28Total paid$63K
24GClaims1,716
24DCodes billed7
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Hospice and Palliative Medicine (Family Medicine) Physician providers in Michigan
Rank by total paid#3 of 6
Median peer was paid$20K
This provider vs. median3.2×
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 | 104 | $2K | |
| 2019 | 702 | $26K | |
| 2020 | 193 | $10K | |
| 2021 | 156 | $7K | |
| 2022 | 151 | $4K | |
| 2023 | 179 | $5K | |
| 2024incomplete | 231 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 47% | 674 | 640 | $29K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 22% | 303 | 282 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 19% | 481 | 398 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 156 | 132 | $6K |
| 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 | 2.6% | 38 | 38 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 49 | 44 | $115.07 |
| 96160 | <1% | 15 | 15 | $23.70 |
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 officialLOCKARD, SUSAN (SR REVENUE MANAGEMENT ANALYST)
| Provider | Location | Paid |
|---|---|---|
| ST Mary Mercy Physician Practices | Detroit, MI | $2.15M |
| Saint Mary's Health Services | Grand Rapids, MI | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.