Medicaid Provider Spending

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

SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

NPI: 1093748642 · HOWELL, MI 48843 · Ambulatory Surgical Clinic/Center · NPI assigned 07/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$18.28M
Total Medicaid Paid
549,277
Total Claims
503,557
Beneficiaries
231
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (REGIONAL CFO)
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal 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
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
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,456 $2.13M
2019 66,272 $2.10M
2020 60,664 $2.07M
2021 86,098 $3.00M
2022 97,827 $3.14M
2023 104,898 $3.26M
2024 77,062 $2.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,058 9,414 $3.51M
99284 Emergency department visit for the evaluation and management, high severity 15,838 14,769 $3.39M
99283 Emergency department visit for the evaluation and management, moderate severity 21,042 20,130 $2.61M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,519 13,026 $1.42M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,617 12,118 $883K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,980 4,787 $702K
96375 Therapeutic injection; each additional sequential IV push 11,418 9,457 $364K
70450 Computed tomography, head or brain; without contrast material 3,126 3,024 $313K
71046 Radiologic examination, chest; 2 views 8,096 7,777 $310K
96361 Intravenous infusion, hydration; each additional hour 10,120 8,884 $308K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,368 2,816 $304K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,957 2,801 $288K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,547 3,471 $272K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,507 3,013 $207K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 396 371 $177K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 774 771 $173K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,424 1,368 $158K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,089 647 $158K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,617 2,515 $151K
93975 1,123 1,084 $138K
71045 Radiologic examination, chest; single view 3,543 3,385 $136K
71275 Computed tomographic angiography, chest, with contrast material 1,155 1,137 $118K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,958 1,931 $114K
71260 Computed tomography, thorax, diagnostic; with contrast material 857 845 $107K
77067 Screening mammography, bilateral, including computer-aided detection 2,092 2,091 $101K
80061 Lipid panel 9,206 9,162 $101K
84443 Thyroid stimulating hormone (TSH) 12,746 12,437 $99K
76830 Ultrasound, transvaginal 1,655 1,610 $96K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,559 3,400 $82K
80053 Comprehensive metabolic panel 30,536 27,366 $80K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 4,551 4,136 $73K
G0378 Hospital observation service, per hour 1,680 1,570 $68K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,566 3,549 $62K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 1,883 1,882 $62K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,404 1,381 $60K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,749 1,259 $59K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,075 1,051 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,284 4,842 $54K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 129 129 $54K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,861 27,754 $51K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 226 225 $46K
G0475 Hiv antigen/antibody, combination assay, screening 2,449 2,444 $40K
83036 Hemoglobin; glycosylated (A1C) 5,224 5,203 $30K
70496 163 160 $27K
82728 3,113 3,070 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,038 981 $26K
93971 465 453 $25K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 52 52 $25K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,303 1,256 $24K
85027 9,656 9,033 $24K
80048 Basic metabolic panel (calcium, ionized) 9,354 8,539 $23K
82607 2,458 2,448 $22K
72100 980 971 $20K
86900 1,729 1,637 $19K
84466 2,272 2,243 $17K
84439 4,008 3,940 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,376 1,365 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,359 1,348 $17K
76770 281 275 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete 223 223 $15K
36415 Collection of venous blood by venipuncture 32,261 29,084 $14K
86780 1,536 1,527 $12K
73630 1,748 1,712 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,383 9,514 $12K
77063 Screening digital breast tomosynthesis, bilateral 865 864 $11K
83540 2,503 2,471 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,099 1,021 $10K
87340 1,620 1,616 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 74 73 $9K
73130 1,589 1,563 $9K
73030 930 900 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,777 5,530 $8K
73610 1,313 1,290 $8K
84702 4,169 3,758 $8K
83735 13,476 11,674 $7K
72125 Computed tomography, cervical spine; without contrast material 965 944 $7K
87086 Culture, bacterial; quantitative colony count, urine 3,099 2,996 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 708 703 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 54 54 $6K
86850 1,693 1,613 $6K
85610 6,866 5,598 $5K
74018 318 299 $5K
83880 1,824 1,731 $5K
71250 91 90 $5K
84481 469 458 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $5K
73110 1,025 1,011 $5K
87428 129 127 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,219 3,629 $5K
73564 157 156 $4K
80159 350 251 $4K
86140 1,757 1,662 $4K
82746 412 410 $4K
76536 61 61 $3K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 75 75 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 561 560 $3K
95806 40 40 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 212 212 $3K
84403 189 186 $3K
73562 524 519 $3K
70491 27 27 $3K
81001 8,397 7,932 $2K
86762 297 296 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 188 188 $2K
85652 2,079 1,988 $2K
80076 2,297 2,211 $2K
86803 286 286 $2K
82570 660 638 $2K
71271 38 38 $2K
93017 64 64 $2K
82043 598 593 $2K
83690 7,488 6,845 $2K
86901 1,906 1,806 $2K
76642 51 51 $2K
77066 Tomosynthesis, mammo 38 38 $2K
85730 4,449 4,217 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml 878 864 $2K
96376 2,851 2,204 $2K
82950 546 545 $1K
73502 135 133 $1K
70486 52 52 $1K
84703 6,388 6,087 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 468 453 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 941 892 $1K
82248 1,275 1,223 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 70 38 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 653 648 $1K
87081 1,169 1,167 $1K
82784 123 120 $994.60
86039 126 126 $902.98
84146 66 66 $877.74
86364 72 57 $876.92
87186 500 491 $851.28
96367 21 12 $778.26
87077 411 403 $741.98
82670 38 38 $732.21
85379 2,772 2,701 $731.02
84100 618 526 $719.66
86592 253 253 $718.67
73080 138 135 $713.48
86258 40 40 $664.78
77065 Tomosynthesis, mammo 14 12 $611.69
86038 69 68 $574.64
81003 5,439 5,229 $572.03
82565 258 233 $517.94
84484 6,800 5,750 $470.39
82550 351 332 $469.54
76870 15 14 $461.85
84460 154 152 $361.35
0012A 13 13 $351.20
73140 107 103 $346.97
85007 421 387 $308.35
73090 55 51 $244.51
84450 106 102 $243.23
0011A 14 14 $225.86
87147 186 171 $223.75
Q3014 Telehealth originating site facility fee 15 15 $218.56
83605 3,733 3,403 $208.91
83001 15 15 $208.02
86431 53 53 $206.30
74022 266 257 $197.75
80055 51 51 $161.04
73590 86 83 $147.90
87088 38 37 $134.53
86200 12 12 $106.26
87040 445 376 $102.45
84630 13 12 $102.28
70498 133 133 $100.63
73552 12 12 $98.90
85651 55 52 $75.62
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 16 14 $64.64
82040 51 48 $63.39
90715 698 695 $56.20
87070 41 40 $54.22
83615 13 12 $47.58
82803 422 381 $39.78
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 251 208 $38.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,464 1,452 $37.41
84156 13 12 $32.89
82947 13 13 $27.96
J1170 Injection, hydromorphone, up to 4 mg 2,864 2,334 $22.09
J2765 Injection, metoclopramide hcl, up to 10 mg 1,252 1,136 $13.84
87205 70 68 $12.71
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,983 2,587 $12.47
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,431 7,433 $12.40
J2704 Injection, propofol, 10 mg 3,274 3,179 $10.06
J1885 Injection, ketorolac tromethamine, per 15 mg 7,583 6,938 $9.43
86308 12 12 $8.24
J0690 Injection, cefazolin sodium, 500 mg 732 696 $7.54
84155 13 12 $7.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,989 2,581 $6.11
J7120 Ringers lactate infusion, up to 1000 cc 2,033 1,782 $3.21
J2250 Injection, midazolam hydrochloride, per 1 mg 2,965 2,843 $3.00
J7030 Infusion, normal saline solution , 1000 cc 15,560 13,306 $1.38
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 526 467 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,621 1,374 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 3,046 2,638 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,060 631 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 49 24 $0.00
29125 72 72 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 310 274 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 74 70 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 16 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 42 41 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 13 13 $0.00
12011 13 13 $0.00
J3370 Injection, vancomycin hcl, 500 mg 14 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 116 92 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 3,198 3,040 $0.00
J2060 Injection, lorazepam, 2 mg 1,267 1,061 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,585 1,359 $0.00
J3360 Injection, diazepam, up to 5 mg 17 15 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,580 1,459 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,827 1,398 $0.00
83520 965 851 $0.00
12001 149 148 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 83 83 $0.00
J3490 Unclassified drugs 1,031 824 $0.00
J1630 Injection, haloperidol, up to 5 mg 377 320 $0.00
J3480 Injection, potassium chloride, per 2 meq 225 151 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 83 69 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 85 81 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 183 110 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 87 87 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 24 24 $0.00
87808 38 38 $0.00
12002 12 12 $0.00
A9270 Non-covered item or service 320 218 $0.00
99156 15 12 $0.00
94760 16 12 $0.00