WA FOOTE MEMORIAL HOSPITAL, INC

NPI: 1073547964 · JACKSON, MI 49201 · Clinical Psychologist · NPI assigned 07/10/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$39K

Total Medicaid Paid

607

Total Claims

469

Beneficiaries

Codes Billed

2018-01

First Month

2019-10

Last Month

Provider Details

Authorized Official	SMITH, MARK (SVP - CMO, CEO HFAMG EXECUTIVE)
Parent Organization	WA FOOTE MEMORIAL HOSPITAL, INC
NPI Enumeration Date	07/10/2006

Other providers sharing the same authorized official: SMITH, MARK

Provider	City	State	Total Paid
HUNTINGTON CARE, LLC	ROSEVILLE	CA	$7.66M
HENRY FORD HEALTH SYSTEM	DETROIT	MI	$5.17M
WA FOOTE MEMORIAL HOSPITAL INC	JACKSON	MI	$3.61M
HENRY FORD HEALTH SYSTEM	DETROIT	MI	$3.37M
W. A. FOOTE MEMORIAL HOSPITAL, INC	JACKSON	MI	$2.83M
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$2.38M
HAND IN HAND	BETTENDORF	IA	$1.53M
DRS. MARK & STEVEN SMITH	GREENEVILLE	TN	$1.17M
HENRY FORD WYANDOTTE HOSPITAL	ALLEN PARK	MI	$803K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$645K
WA FOOTE MEMORIAL HOSPITAL, INC	JACKSON	MI	$600K
HENRY FORD WYANDOTTE HOSPITAL	BROWNSTOWN TWP	MI	$322K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$311K
HENRY FORD WYANDOTTE HOSPITAL	TRENTON	MI	$294K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$278K
T H SMITH OD AND THOMAS K SMITH OD PC	MC KENZIE	TN	$263K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$237K
MARK A. SMITH MD INC.	AKRON	OH	$124K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$112K
HENRY FORD WYANDOTTE HOSPITAL	WYANDOTTE	MI	$104K

Year	Claims	Total Paid
2018	573	$36K
2019	34	$3K

Code	Description	Claims	Beneficiaries	Total Paid
90791	Psychiatric diagnostic evaluation	224	202	$16K
90837	Psychotherapy, 53 minutes with patient	208	101	$15K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	148	140	$7K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	26	$949.92