Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Saint Joseph › NPI 1134220031
Hospital

Lakeland Hospitals at Niles and ST Joseph, INC

Lakeland Hospitals at Niles and ST Joseph, INC was paid $78.22M by Medicaid between Jan 2018 and Dec 2024, across 576 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoLAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
SAINT JOSEPH, MI 49085
33aNPI1134220031assigned 09/26/2006
28Total paid$78.22M
24GClaims2,391,298
24DCodes billed576
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#13 of 86
Median peer was paid$21.55M
This provider vs. median3.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018316,020$9.24M
2019302,884$9.26M
2020298,027$9.20M
2021382,972$12.61M
2022369,818$12.57M
2023401,568$14.00M
2024incomplete320,009$11.34M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 53,510 47,387 $10.52M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 31,763 28,528 $9.96M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 75,907 70,591 $9.42M
G0378 Hospital observation service, per hour 9.3% 21,497 13,480 $7.24M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.7% 38,365 32,200 $3.64M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.3% 79,159 25,121 $1.83M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.0% 26,135 20,778 $1.59M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 10,079 9,799 $1.45M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.7% 15,197 11,115 $1.35M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 11,366 8,150 $1.18M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.5% 6,845 4,449 $1.14M
96375 Therapeutic injection; each additional sequential IV push 1.2% 33,022 25,368 $941K
564 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 13,113 $931K
96361 Intravenous infusion, hydration; each additional hour 1.1% 27,092 $898K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 1,755 $890K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.1% 3,377 $841K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 276 $775K
71046 Radiologic examination, chest; 2 views <1% 19,823 $761K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 31,002 $677K
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 <1% 12,560 $651K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 8,443 $605K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,180 $602K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,747 $573K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,823 $566K
70450 Computed tomography, head or brain; without contrast material <1% 6,811 $547K
99214 Doctor's office visit, returning patient (more involved) <1% 8,290 $523K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 11,796 $484K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 29,736 $439K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,105 $407K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 861 $394K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 16,245 $387K
77067 Screening mammography, bilateral, including computer-aided detection <1% 7,809 $381K
71045 Radiologic examination, chest; single view <1% 9,497 $329K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 5,449 $325K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 943 $319K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,368 $318K
93975 <1% 2,481 $301K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 20,208 $296K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 20,189 $293K
15275 <1% 312 $289K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 5,660 $283K
76830 Ultrasound, transvaginal <1% 4,822 $280K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 7,126 $280K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,476 $275K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 567 $271K
97162 <1% 5,573 $265K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,698 $265K
80061 Lipid panel <1% 23,781 $262K
97161 <1% 5,431 $257K
76801 <1% 4,407 $257K
80053 Comprehensive metabolic panel <1% 114,637 $234K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,127 $230K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 4,498 $229K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,529 $228K
99213 Doctor's office visit, returning patient (routine) <1% 5,193 $216K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,425 $210K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,500 $206K
86900 <1% 7,197 $204K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,672 $202K
84443 Thyroid stimulating hormone (TSH) <1% 29,134 $199K
36415 Collection of venous blood by venipuncture <1% 163,904 $178K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,171 $169K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 3,734 $167K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,636 $166K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 112,611 $163K
93458 <1% 272 $150K
76770 <1% 2,611 $148K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 9,872 $138K
96367 <1% 4,198 $137K
94060 <1% 1,389 $132K
97597 <1% 1,378 $128K
93971 <1% 2,287 $128K
96415 <1% 2,610 $127K
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% 8,103 $126K
47562 <1% 55 $123K
99204 Doctor's office visit, new patient (more involved) <1% 1,455 $118K
87507 <1% 697 $112K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 15,926 $110K
76819 Fetal biophysical profile; without non-stress testing <1% 1,776 $108K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 33,957 $107K
10060 <1% 1,139 $104K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 23,273 $95K
72141 <1% 625 $89K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 36,061 $88K
S4005 Interim labor facility global (labor occurring but not resulting in delivery) <1% 775 $85K
92523 <1% 1,086 $85K
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 <1% 8,609 $84K
97165 <1% 1,818 $83K
92526 <1% 1,810 $82K
J2785 Injection, regadenoson, 0.1 mg <1% 1,296 $81K
99244 Office or other outpatient consultation, moderate to high complexity <1% 892 $81K
72110 <1% 2,549 $81K
76642 <1% 2,051 $80K
99232 Hospital visit by a doctor, follow-up day <1% 2,444 $77K
83036 Hemoglobin; glycosylated (A1C) <1% 19,358 $77K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 4,449 $75K
88142 <1% 6,543 $75K
78815 Positron emission tomography (PET) for limited area imaging <1% 96 $73K
99203 Doctor's office visit, new patient (routine) <1% 1,247 $72K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,286 $72K
59025 Fetal non-stress test <1% 743 $70K
J9271 Injection, pembrolizumab, 1 mg <1% 15 $69K
76536 <1% 1,366 $68K
70551 Magnetic resonance imaging, brain; without contrast material <1% 862 $68K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,224 $63K
71271 <1% 1,206 $63K
71250 <1% 1,008 $62K
99215 Doctor's office visit, returning patient (complex) <1% 635 $59K
70491 <1% 528 $58K
86850 <1% 8,450 $57K
73562 <1% 1,922 $57K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 8,628 $55K
96417 <1% 1,330 $54K
73030 <1% 4,054 $53K
73221 <1% 424 $51K
86480 <1% 1,617 $50K
97166 <1% 1,454 $49K
85027 <1% 21,663 $49K
97535 Self-care/home management training, each 15 minutes <1% 3,016 $48K
70496 <1% 1,152 $46K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,585 $46K
87088 <1% 25,386 $45K
86780 <1% 6,069 $45K
83970 <1% 2,337 $44K
73630 <1% 4,605 $42K
95811 <1% 81 $41K
72100 <1% 1,723 $41K
77066 Tomosynthesis, mammo <1% 697 $41K
82728 <1% 7,070 $37K
96523 <1% 1,588 $37K
82607 <1% 6,240 $37K
73130 <1% 4,192 $36K
J2469 Injection, palonosetron hcl, 25 mcg <1% 2,947 $36K
97116 <1% 3,087 $36K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,207 $36K
87086 Culture, bacterial; quantitative colony count, urine <1% 19,745 $34K
93017 <1% 1,462 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,421 $32K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,908 $32K
80048 Basic metabolic panel (calcium, ionized) <1% 14,673 $31K
73110 <1% 2,835 $31K
93308 <1% 532 $31K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 16 $30K
84439 <1% 7,472 $30K
99222 Initial hospital care, per day, moderate complexity <1% 525 $30K
73502 <1% 2,137 $30K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 1,450 $29K
74018 <1% 1,835 $29K
73610 <1% 3,981 $28K
70486 <1% 766 $27K
36430 <1% 178 $26K
73564 <1% 3,804 $25K
80074 <1% 1,360 $25K
87536 <1% 536 $25K
72040 <1% 1,312 $25K
77065 Tomosynthesis, mammo <1% 723 $25K
93000 <1% 2,839 $24K
87340 <1% 6,601 $24K
87077 <1% 8,936 $23K
93970 <1% 217 $23K
97163 <1% 419 $22K
99205 Prolong outpt/office vis <1% 211 $22K
86803 <1% 4,270 $22K
99254 <1% 261 $22K
83550 <1% 6,928 $22K
93798 <1% 335 $22K
29580 <1% 240 $22K
82947 <1% 1,588 $21K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 52 $21K
P9016 Red blood cells, leukocytes reduced, each unit <1% 260 $21K
87186 <1% 8,766 $20K
72156 <1% 127 $20K
87905 <1% 10,070 $19K
84153 <1% 2,190 $19K
87808 <1% 9,453 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 62 $19K
93015 <1% 725 $19K
85610 <1% 15,844 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 673 $19K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 378 $18K
82043 <1% 5,865 $18K
84702 <1% 14,867 $17K
83540 <1% 7,093 $17K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 678 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 1,813 $16K
72050 <1% 386 $16K
77336 <1% 223 $15K
99243 <1% 237 $15K
99223 Prolong inpt eval add15 m <1% 161 $15K
86140 <1% 8,114 $15K
84403 <1% 1,085 $14K
82746 <1% 2,304 $14K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 218 $13K
93016 <1% 1,078 $13K
J7050 Infusion, normal saline solution, 250 cc <1% 35,473 $13K
73140 <1% 1,909 $13K
72072 <1% 534 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 5,398 $13K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 361 $13K
93018 <1% 1,533 $13K
83880 <1% 3,363 $12K
86360 <1% 474 $12K
76870 <1% 784 $12K
80076 <1% 2,912 $12K
72158 <1% 125 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,057 $11K
93880 <1% 110 $11K
86762 <1% 2,979 $11K
83735 <1% 21,889 $11K
81001 <1% 50,589 $11K
74183 <1% 66 $11K
88307 <1% 594 $11K
73080 <1% 1,522 $11K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 100 $11K
97035 <1% 1,790 $11K
86038 <1% 2,065 $11K
G0475 Hiv antigen/antibody, combination assay, screening <1% 816 $10K
86300 <1% 1,576 $10K
82784 <1% 1,696 $10K
0012A <1% 332 $10K
87390 <1% 1,006 $10K
86359 <1% 474 $10K
87081 <1% 3,184 $10K
84207 <1% 714 $10K
86003 <1% 245 $10K
84481 <1% 1,025 $8K
80306 <1% 2,729 $8K
99238 Hospital discharge day management, 30 minutes or less <1% 299 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,304 $8K
81511 <1% 538 $8K
82950 <1% 3,007 $8K
85652 <1% 7,637 $8K
29515 <1% 99 $8K
83001 <1% 818 $8K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 30 $7K
85576 <1% 471 $7K
88304 <1% 2,037 $7K
95806 <1% 88 $7K
83921 <1% 690 $7K
93296 <1% 529 $7K
86702 <1% 1,006 $7K
84146 <1% 729 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 672 $7K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 25 $7K
97012 <1% 1,052 $7K
88342 <1% 437 $7K
84425 <1% 650 $7K
99152 <1% 2,270 $7K
0011A <1% 340 $7K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 618 $6K
77080 <1% 103 $6K
87070 <1% 2,723 $6K
80050 General health panel <1% 226 $6K
82570 <1% 3,386 $6K
93925 <1% 66 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 8,124 $6K
73590 <1% 999 $6K
86376 <1% 981 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 495 $5K
93922 <1% 172 $5K
43235 <1% 13 $5K
99239 Hospital discharge day management, more than 30 minutes <1% 89 $5K
83655 <1% 814 $5K
90675 <1% 35 $5K
96411 <1% 140 $5K
70498 <1% 1,147 $5K
74240 <1% 53 $5K
83516 <1% 584 $5K
86701 <1% 1,040 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,158 $5K
80069 <1% 1,125 $4K
93295 <1% 208 $4K
87102 <1% 1,025 $4K
97802 <1% 291 $4K
94726 <1% 1,130 $4K
85730 <1% 7,346 $4K
87653 <1% 269 $4K
73700 <1% 68 $4K
80164 <1% 955 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 341 $4K
86706 <1% 916 $4K
97014 <1% 484 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 14 $4K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 196 $4K
93298 <1% 172 $4K
0031A <1% 101 $4K
96416 <1% 19 $4K
73090 <1% 826 $4K
93793 <1% 1,622 $4K
83690 <1% 25,249 $3K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 14 $3K
72146 <1% 25 $3K
84156 <1% 2,803 $3K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,680 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 183 $3K
86431 <1% 1,384 $3K
82378 <1% 834 $3K
86235 <1% 157 $3K
83002 <1% 309 $3K
82550 <1% 2,216 $3K
84550 <1% 1,862 $3K
94729 <1% 1,228 $3K
97763 <1% 70 $3K
84402 <1% 214 $3K
93248 <1% 164 $2K
86161 <1% 228 $2K
29581 <1% 29 $2K
0001A <1% 72 $2K
97760 <1% 89 $2K
87206 <1% 1,755 $2K
83615 <1% 2,279 $2K
73560 <1% 103 $2K
82670 <1% 148 $2K
86364 <1% 327 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 116 $2K
84100 <1% 1,424 $2K
95819 <1% 30 $2K
82247 <1% 778 $2K
71101 <1% 335 $2K
84630 <1% 311 $2K
99406 <1% 230 $2K
87522 Neg quan hep c or qual rna <1% 93 $2K
82533 <1% 233 $2K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 12 $2K
93246 <1% 162 $2K
82525 <1% 282 $2K
80329 <1% 45 $2K
82951 <1% 218 $2K
72157 <1% 24 $1K
99255 <1% 14 $1K
85055 <1% 146 $1K
93351 <1% 12 $1K
74022 <1% 239 $1K
0002A <1% 36 $1K
86225 <1% 218 $1K
97803 <1% 135 $1K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 16 $1K
81025 <1% 21,895 $1K
86200 <1% 294 $1K
86618 <1% 188 $1K
84484 <1% 18,875 $1K
85379 <1% 4,514 $923.60
87631 <1% 414 $918.26
87338 <1% 116 $914.43
00811 <1% 14 $900.42
85045 <1% 1,325 $897.23
99442 <1% 58 $892.99
72082 <1% 13 $845.65
86665 <1% 51 $841.01
G0482 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; 15-21 drug class(es), including metabolite(s) if performed <1% 49 $811.80
87563 <1% 45 $805.98
93325 <1% 459 $796.17
87040 <1% 5,506 $794.88
73660 <1% 90 $791.01
82024 <1% 43 $739.27
80177 <1% 671 $736.73
0064A <1% 20 $721.04
86769 <1% 31 $705.84
86160 <1% 64 $679.32
82785 <1% 92 $663.39
86147 <1% 29 $638.38
87529 <1% 40 $628.74
93272 <1% 43 $602.84
90686 <1% 68 $585.62
99221 <1% 13 $576.40
84145 <1% 1,772 $560.37
76000 <1% 192 $552.94
84446 <1% 72 $548.56
86308 <1% 499 $533.77
72170 <1% 25 $519.77
0004A <1% 14 $506.07
12001 <1% 1,671 $505.97
92610 <1% 13 $500.47
94618 <1% 49 $479.28
84590 <1% 75 $462.86
84681 <1% 42 $459.06
76376 <1% 220 $438.32
82330 <1% 376 $437.04
82977 <1% 122 $435.58
86592 <1% 169 $384.53
84165 <1% 88 $380.56
93227 <1% 25 $372.09
94762 <1% 67 $354.49
82274 <1% 43 $350.24
85014 <1% 1,308 $348.77
85018 <1% 1,099 $347.01
73060 <1% 79 $340.05
82248 <1% 144 $335.50
82627 <1% 31 $331.44
73521 <1% 12 $330.68
84112 <1% 120 $322.02
83605 <1% 7,171 $314.71
12011 <1% 609 $305.04
73070 <1% 15 $285.89
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 1,075 $285.59
0240U <1% 298 $285.26
86704 <1% 56 $276.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 467 $275.11
99443 <1% 12 $270.96
94010 <1% 38 $255.43
86800 <1% 37 $245.90
87210 <1% 813 $242.83
96401 <1% 24 $242.32
83993 <1% 24 $231.43
87205 <1% 222 $226.98
G0008 Administration of influenza virus vaccine <1% 68 $214.22
76937 <1% 669 $211.76
82952 <1% 106 $208.51
93321 <1% 64 $208.42
86708 <1% 27 $188.62
93242 <1% 14 $180.45
93244 <1% 13 $179.36
86255 <1% 25 $169.20
93356 <1% 40 $166.71
82565 <1% 105 $157.76
82010 <1% 2,064 $155.09
87641 <1% 43 $138.96
80197 <1% 19 $136.68
99441 <1% 17 $134.64
82553 <1% 28 $121.52
86304 <1% 14 $117.72
86696 <1% 13 $108.00
82731 <1% 13 $106.40
83520 <1% 57 $103.95
85007 <1% 200 $99.84
84132 <1% 369 $99.12
73552 <1% 47 $96.47
82140 <1% 33 $95.60
86664 <1% 14 $94.71
90715 <1% 2,887 $91.86
85046 <1% 60 $84.79
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 36,327 $78.88
86735 <1% 12 $73.80
82105 <1% 12 $73.36
86765 <1% 12 $72.81
96376 <1% 12,367 $68.23
86695 <1% 13 $66.24
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 32,218 $52.02
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,349 $50.20
82150 <1% 14 $48.84
82803 <1% 732 $39.76
81003 <1% 593 $39.36
94664 <1% 1,811 $36.75
85660 <1% 12 $34.10
29125 <1% 853 $33.39
80178 <1% 14 $29.52
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 13,136 $27.71
86901 <1% 6,543 $20.50
J7030 Infusion, normal saline solution , 1000 cc <1% 9,848 $18.46
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 8,349 $18.13
84480 <1% 24 $17.82
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 2,863 $14.68
86787 <1% 15 $14.10
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 4,021 $12.24
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,866 $11.94
J1644 Injection, heparin sodium, per 1000 units <1% 6,270 $11.92
84295 <1% 155 $11.26
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,596 $11.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 19,525 $10.89
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 8,547 $10.67
87075 <1% 15 $10.18
82077 <1% 579 $9.45
A9270 Non-covered item or service <1% 4,650 $7.70
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 322 $7.40
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 9,706 $5.05
J8597 Antiemetic drug, oral, not otherwise specified <1% 7,371 $3.90
91303 <1% 65 $1.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,046 $0.62
J0780 Injection, prochlorperazine, up to 10 mg <1% 4,070 $0.26
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 20 $0.24
J2060 Injection, lorazepam, 2 mg <1% 4,857 $0.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 3,084 $0.06
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 2,528 $0.01
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 1,176 $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 0% 1,234 $0.00
J3490 Unclassified drugs 0% 3,140 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 1,191 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,287 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 1,505 $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 0% 86 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,450 $0.00
J1815 Injection, insulin, per 5 units 0% 2,628 $0.00
C1769 Guide wire 0% 1,355 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 1,442 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 904 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 930 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 4,550 $0.00
12002 0% 640 $0.00
J7999 Compounded drug, not otherwise classified 0% 840 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 3,206 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 160 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 611 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 0% 302 $0.00
99153 Mod sedat endo service >5yrs 0% 1,677 $0.00
76377 0% 362 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 201 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 888 $0.00
J2704 Injection, propofol, 10 mg 0% 4,808 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 280 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 1,057 $0.00
80051 0% 29 $0.00
95886 0% 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 205 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 13 $0.00
74420 0% 29 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 416 $0.00
99024 0% 144 $0.00
88300 0% 162 $0.00
36416 0% 269 $0.00
A9573 Injection, gadopiclenol, 1 ml 0% 383 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 210 $0.00
91301 0% 684 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 78 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 13 $0.00
96368 0% 90 $0.00
88341 0% 13 $0.00
97010 0% 360 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 0% 33 $0.00
29130 0% 65 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 43 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 17 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 82 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 13 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 39 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 12 $0.00
80320 0% 59 $0.00
91306 0% 19 $0.00
C1781 Mesh (implantable) 0% 15 $0.00
Q4196 Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) 0% 137 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 16 $0.00
J9045 Injection, carboplatin, 50 mg 0% 17 $0.00
30140 0% 15 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 11,168 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 2,068 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 991 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 0% 1,985 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 3,147 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 2,041 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 1,588 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 4,817 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 785 $0.00
91300 0% 189 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 213 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 1,143 $0.00
76942 0% 107 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 147 $0.00
C1758 Catheter, ureteral 0% 90 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 0% 84 $0.00
J7510 Prednisolone oral, per 5 mg 0% 122 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 1,696 $0.00
J2800 Injection, methocarbamol, up to 10 ml 0% 87 $0.00
J9190 Injection, fluorouracil, 500 mg 0% 151 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 319 $0.00
86922 0% 43 $0.00
0722T 0% 12 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 52 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 195 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 253 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 53 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 62 $0.00
1124F 0% 256 $0.00
80143 0% 351 $0.00
89051 0% 18 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 56 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 81 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 0% 51 $0.00
0097U 0% 26 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 17 $0.00
80179 0% 347 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 14 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 0% 17 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 0% 65 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 0% 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 315 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 0% 27 $0.00
J7070 Infusion, d5w, 1000 cc 0% 63 $0.00

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 officialCOX, MATTHEW (CFO)
Same official

Other billing entities under COX, MATTHEW

Full network →
ProviderLocationPaid
Spectrum Health HospitalsGrand Rapids, MI$243.22M
Oakwood Healthcare, INC.Dearborn, MI$165.61M
William Beaumont HospitalRoyal Oak, MI$162.64M
William Beaumont HospitalTroy, MI$84.88M
Botsford General HospitalFarmington Hills, MI$72.21M
William Beaumont HospitalGrosse Pointe, MI$61.49M
Oakwood Healthcare, INC.Wayne, MI$55.44M
Oakwood Healthcare, INC.Taylor, MI$50.28M
Oakwood Healthcare, INC.Trenton, MI$23.26M
Spectrum Health UnitedGreenville, MI$20.99M
Mecosta County Medical CenterBig Rapids, MI$19.50M
Pennock HospitalHastings, MI$15.24M
Reed City Hospital CorporationReed City, MI$15.02M
Zeeland Community HospitalZeeland, MI$10.12M
Lakeland Community Hospital WatervlietWatervliet, MI$9.85M
Lakeland Community Hospital WatervlietNiles, MI$9.05M
Visiting Nurse Services of Western MichiganGrand Rapids, MI$4.54M
Lakeland Hospitals at Niles and ST Joseph, INCBenton Harbor, MI$3.33M
Banner Mesa Surgery Center LLCMesa, AZ$2.80M
Lakeland Community Hospital WatervlietWatervliet, MI$2.55M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.