Medicaid Provider Spending

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

ASCENSION BORGESS HOSPITAL

NPI: 1144275934 · PLAINWELL, MI 49080 · Rural Health Clinic/Center · NPI assigned 05/23/2006

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

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

$3.71M
Total Medicaid Paid
165,082
Total Claims
150,120
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date05/23/2006

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 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 LEE HOSPITAL DOWAGIAC MI $1.58M
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 35,447 $675K
2019 30,009 $594K
2020 22,979 $530K
2021 22,883 $518K
2022 22,664 $521K
2023 22,097 $587K
2024 9,003 $285K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 64,499 54,733 $3.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,313 25,938 $83K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,643 15,705 $73K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,419 3,307 $24K
J1050 Injection, medroxyprogesterone acetate, 1 mg 693 689 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,767 2,721 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,904 2,775 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,273 1,204 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,297 10,105 $9K
90472 Immunization administration, each additional vaccine (list separately) 5,029 4,886 $8K
90686 4,807 4,754 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,473 1,447 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,380 2,291 $5K
90651 395 385 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 476 457 $3K
90715 696 688 $3K
90674 195 194 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 290 287 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,415 1,364 $2K
83036 Hemoglobin; glycosylated (A1C) 1,043 1,031 $1K
90677 75 75 $1K
90620 86 80 $1K
83655 450 416 $990.57
99381 157 150 $780.48
99309 Subsequent nursing facility care, per day, low to moderate complexity 47 40 $686.28
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 132 128 $615.75
90834 Psychotherapy, 45 minutes with patient 720 460 $601.84
99310 Prolong nursin fac eval 15m 115 110 $571.90
90734 809 797 $515.41
99385 28 26 $496.85
90661 59 59 $494.55
99000 81 76 $439.25
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 79 $422.94
81002 1,039 992 $364.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 92 81 $273.32
90707 232 223 $260.64
90670 2,304 2,216 $215.33
90474 292 292 $207.00
85018 394 363 $170.13
90473 820 757 $144.00
96127 351 332 $136.34
90716 213 204 $136.26
81025 118 117 $110.82
92551 58 57 $45.78
99406 99 95 $24.36
90656 54 53 $19.25
98966 13 12 $17.88
90633 1,058 1,014 $0.00
90710 282 267 $0.00
90700 127 124 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 171 168 $0.00
99173 56 55 $0.00
99215 Prolong outpt/office vis 44 44 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22 20 $0.00
90680 1,606 1,538 $0.00
90723 1,820 1,749 $0.00
90647 1,710 1,642 $0.00
90696 262 248 $0.00