Clinic
Ascension Borgess Hospital
Ascension Borgess Hospital was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoASCENSION BORGESS HOSPITAL
PLAINWELL, MI 49080
PLAINWELL, MI 49080
33aNPI1144275934assigned 05/23/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.71M
24GClaims165,082
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#9 of 193
Median peer was paid$426K
This provider vs. median8.7×
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 HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 9,003 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 64,499 | 54,733 | $3.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 28,313 | 25,938 | $83K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.0% | 16,643 | 15,705 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,419 | 3,307 | $24K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 693 | 689 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,767 | 2,721 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,904 | 2,775 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,273 | 1,204 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,297 | 10,105 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,029 | 4,886 | $8K |
| 90686 | <1% | 4,807 | 4,754 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,473 | 1,447 | $6K |
46 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,380 | $5K |
| 90651 | <1% | 395 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 476 | $3K |
| 90715 | <1% | 696 | $3K | |
| 90674 | <1% | 195 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 290 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,415 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,043 | $1K |
| 90677 | <1% | 75 | $1K | |
| 90620 | <1% | 86 | $1K | |
| 83655 | <1% | 450 | $990.57 | |
| 99381 | <1% | 157 | $780.48 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 47 | $686.28 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 132 | $615.75 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 720 | $601.84 |
| 99310 | Prolong nursin fac eval 15m | <1% | 115 | $571.90 |
| 90734 | <1% | 809 | $515.41 | |
| 99385 | <1% | 28 | $496.85 | |
| 90661 | <1% | 59 | $494.55 | |
| 99000 | <1% | 81 | $439.25 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 79 | $422.94 |
| 81002 | <1% | 1,039 | $364.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 92 | $273.32 |
| 90707 | <1% | 232 | $260.64 | |
| 90670 | <1% | 2,304 | $215.33 | |
| 90474 | <1% | 292 | $207.00 | |
| 85018 | <1% | 394 | $170.13 | |
| 90473 | <1% | 820 | $144.00 | |
| 96127 | <1% | 351 | $136.34 | |
| 90716 | <1% | 213 | $136.26 | |
| 81025 | <1% | 118 | $110.82 | |
| 92551 | <1% | 58 | $45.78 | |
| 99406 | <1% | 99 | $24.36 | |
| 90656 | <1% | 54 | $19.25 | |
| 98966 | <1% | 13 | $17.88 | |
| 90633 | 0% | 1,058 | $0.00 | |
| 90710 | 0% | 282 | $0.00 | |
| 90700 | 0% | 127 | $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) | 0% | 171 | $0.00 |
| 99173 | 0% | 56 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 44 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 22 | $0.00 |
| 90680 | 0% | 1,606 | $0.00 | |
| 90723 | 0% | 1,820 | $0.00 | |
| 90647 | 0% | 1,710 | $0.00 | |
| 90696 | 0% | 262 | $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 officialHOUGHTON, MARINA (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.