Medicaid Provider Spending

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

ASCENSION BORGESS LEE HOSPITAL

NPI: 1124182811 · DOWAGIAC, MI 49047 · Rural Health Clinic/Center · NPI assigned 12/20/2006

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

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$1.58M
Total Medicaid Paid
83,629
Total Claims
79,148
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date12/20/2006

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal Paid
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $43.08M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $10.60M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $7.97M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $6.88M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $6.03M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $4.84M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $3.71M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $3.71M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $2.70M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $2.55M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $2.07M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $1.64M
ASCENSION BORGESS HOSPITAL PORTAGE MI $1.22M
ASCENSION BORGESS ALLEGAN HOSPITAL GOBLES MI $298K
ASCENSION BORGESS ALLEGAN HOSPITAL OTSEGO MI $294K
ASCENSION BORGESS ALLEGAN HOSPITAL FENNVILLE MI $246K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $91K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $55K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $43K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,835 $357K
2019 19,067 $367K
2020 13,850 $245K
2021 14,309 $273K
2022 14,332 $285K
2023 2,236 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 28,024 25,059 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,976 10,278 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,601 5,337 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,077 3,041 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,716 2,686 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,314 2,301 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,536 2,405 $11K
90472 Immunization administration, each additional vaccine (list separately) 4,120 4,093 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,853 6,797 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,211 1,175 $3K
83655 644 630 $2K
99381 174 172 $953.92
96110 Developmental screening, with scoring and documentation, per standardized instrument 431 419 $460.00
90651 434 427 $401.42
85018 687 672 $335.22
90670 1,983 1,961 $241.38
90460 Immunization administration through 18 years of age via any route, first or only component 146 127 $231.00
90474 426 425 $204.38
81002 453 442 $189.04
90620 472 470 $180.20
90734 1,005 989 $128.85
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $73.68
90686 1,926 1,911 $39.56
90680 822 813 $28.00
90723 962 951 $26.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 43 $26.36
90700 890 882 $0.00
90710 1,074 1,063 $0.00
90713 127 127 $0.00
90633 1,077 1,060 $0.00
90473 154 152 $0.00
90715 339 333 $0.00
90685 134 132 $0.00
90696 312 310 $0.00
90647 1,446 1,429 $0.00
99383 12 12 $0.00
90688 13 12 $0.00