Memorial Medical Center of West Michigan
Memorial Medical Center of West Michigan was paid $268K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 25% of everything it billed.
LUDINGTON, MI 49431
Next to other Pediatrics Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 841 | $31K | |
| 2019 | 1,881 | $76K | |
| 2020 | 1,082 | $79K | |
| 2021 | 711 | $38K | |
| 2022 | 402 | $25K | |
| 2023 | 214 | $9K | |
| 2024incomplete | 205 | $9K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 25% | 87 | 87 | $66K |
| 99238 | Hospital discharge day management, 30 minutes or less | 17% | 1,145 | 1,133 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,423 | 1,333 | $44K |
| 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 | 16% | 1,066 | 1,001 | $44K |
| 99460 | 11% | 536 | 533 | $28K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 304 | 299 | $14K |
| 99243 | 2.2% | 92 | 89 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 138 | 137 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 145 | 140 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 27 | 27 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 34 | 34 | $2K |
| 54150 | <1% | 25 | 25 | $1K |
10 more codes
| 99462 | <1% | 47 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 20610 | <1% | 44 | $987.06 | |
| 94060 | <1% | 55 | $381.16 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 92 | $370.50 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 15 | $329.85 |
| 94726 | <1% | 12 | $69.30 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $67.29 |
| 94729 | <1% | 12 | $51.50 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Spectrum Health Primary Care Partners | Grand Rapids, MI | $219.58M |
| Newaygo County General Hospital Association | Fremont, MI | $26.99M |
| Spectrum Health Primary Care Partners | Grand Rapids, MI | $14.49M |
| Spectrum Health Primary Care Partners | Grand Rapids, MI | $2.34M |
| Mecosta County Medical Center | Big Rapids, MI | $1.55M |
| Lakeland Community Hospital Watervliet | Watervliet, MI | $910K |
| Newaygo County General Hospital Association | Fremont, MI | $841K |
| Pennock Hospital | Hastings, MI | $719K |
| Spectrum Health Primary Care Partners | Muskegon, MI | $710K |
| Spectrum Health Primary Care Partners | Holland, MI | $319K |
| Spectrum Health Primary Care Partners | Hudsonville, MI | $152K |
| Reed City Hospital Corporation | Reed City, MI | $115K |
| Spectrum Health Primary Care Partners | Wyoming, MI | $106K |
| Spectrum Health Primary Care Partners | Grand Rapids, MI | $73K |
| Zeeland Community Hospital | Zeeland, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.