Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PARAGON HEALTH, PC

NPI: 1083678767 · KALAMAZOO, MI 49007 · Nephrology Physician · NPI assigned 04/12/2006

$1.07M
Total Medicaid Paid
14,168
Total Claims
10,760
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUMMEL, MARK (PRESIDENT)
Parent OrganizationPARAGON HEALTH, PC
NPI Enumeration Date04/12/2006

Related Entities

Other providers sharing the same authorized official: RUMMEL, MARK

ProviderCityStateTotal Paid
PARAGON HEALTH, P.C. PORTAGE MI $530K
PARAGON HEALTH PC KALAMAZOO MI $189K
PARAGON HEALTH, PC KALAMAZOO MI $133K
PARAGON HEALTH PC KALAMAZOO MI $78K
PARAGON HEALTH, PC KALAMAZOO MI $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,479 $95K
2019 1,311 $86K
2020 1,834 $119K
2021 2,602 $192K
2022 2,427 $194K
2023 2,433 $201K
2024 2,082 $180K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,502 2,491 $409K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,717 3,683 $239K
99232 Subsequent hospital care, per day, moderate complexity 3,468 1,361 $142K
90935 Hemodialysis procedure with single evaluation by a physician 1,818 654 $72K
99222 Initial hospital care, per day, moderate complexity 874 804 $62K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 674 669 $61K
99223 Prolong inpt eval add15 m 381 372 $43K
90961 203 202 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108 105 $5K
90966 30 30 $4K
81002 367 363 $870.57
99072 26 26 $0.00