Medicaid Provider Spending

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

ASCENSION BORGESS HOSPITAL

NPI: 1154504892 · PLAINWELL, MI 49080 · Special Hospital · NPI assigned 12/17/2007

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

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

$4.84M
Total Medicaid Paid
129,213
Total Claims
116,350
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
Parent OrganizationBORGESS MEDICAL CENTER
NPI Enumeration Date12/17/2007

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 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 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 19,644 $655K
2019 16,508 $630K
2020 13,985 $513K
2021 18,585 $702K
2022 24,639 $846K
2023 24,016 $902K
2024 11,836 $596K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,724 13,892 $1.81M
99284 Emergency department visit for the evaluation and management, high severity 6,770 6,306 $1.22M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,358 2,248 $606K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,141 2,906 $311K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,983 2,922 $212K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,429 1,280 $97K
71046 Radiologic examination, chest; 2 views 2,086 2,021 $75K
74177 Computed tomography, abdomen and pelvis; with contrast material 398 390 $71K
96361 Intravenous infusion, hydration; each additional hour 2,328 2,145 $65K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,068 1,017 $46K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,450 1,425 $43K
71045 Radiologic examination, chest; single view 757 743 $33K
84443 Thyroid stimulating hormone (TSH) 4,172 4,037 $31K
80053 Comprehensive metabolic panel 9,713 9,066 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,967 1,919 $27K
96375 Therapeutic injection; each additional sequential IV push 811 755 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,919 9,975 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 95 93 $12K
80061 Lipid panel 1,336 1,333 $11K
70450 Computed tomography, head or brain; without contrast material 116 115 $10K
83036 Hemoglobin; glycosylated (A1C) 1,917 1,867 $9K
97162 143 138 $6K
83718 1,620 1,596 $5K
36415 Collection of venous blood by venipuncture 8,786 7,903 $5K
82728 758 729 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,364 2,192 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 122 120 $4K
80048 Basic metabolic panel (calcium, ionized) 1,720 1,604 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 37 36 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 146 94 $3K
77067 Screening mammography, bilateral, including computer-aided detection 67 67 $3K
84478 1,341 1,312 $3K
82465 1,632 1,602 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 162 156 $2K
81001 5,807 5,486 $2K
73630 247 243 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,758 1,680 $2K
73610 193 189 $2K
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 48 45 $1K
73562 123 119 $1K
85027 507 479 $1K
82607 178 177 $1K
83690 2,024 1,862 $1K
84439 201 198 $955.91
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 143 142 $949.74
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 143 142 $949.74
83540 316 305 $945.77
83735 465 426 $908.08
74018 24 24 $897.74
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 201 194 $869.34
73030 51 51 $832.19
84703 2,719 2,595 $799.44
73130 97 93 $779.65
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 13 13 $764.05
84484 1,271 1,134 $737.69
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $722.96
85610 444 367 $623.08
83550 119 115 $584.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 368 332 $510.96
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 974 539 $505.17
77063 Screening digital breast tomosynthesis, bilateral 39 39 $478.15
85651 273 251 $464.46
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 351 348 $349.67
87186 268 263 $342.03
82043 116 116 $324.80
83605 221 201 $304.77
73110 27 27 $293.66
86140 121 115 $273.89
87254 118 80 $267.46
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 26 26 $264.65
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,711 2,495 $235.72
87486 12 12 $231.46
87581 12 12 $231.46
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $231.46
84702 36 24 $219.29
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,100 1,086 $201.14
87430 864 856 $196.11
72100 12 12 $178.92
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 13 13 $173.33
87077 48 47 $94.17
83880 16 14 $78.50
85730 38 38 $65.86
86592 39 39 $55.12
86703 38 38 $51.66
85379 48 48 $48.01
87634 168 161 $46.24
J1885 Injection, ketorolac tromethamine, per 15 mg 3,472 3,245 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 498 486 $0.00
J1170 Injection, hydromorphone, up to 4 mg 133 120 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 42 40 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 30 30 $0.00
J7030 Infusion, normal saline solution , 1000 cc 2,660 2,458 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,119 1,077 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,552 1,467 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 78 68 $0.00
87420 20 20 $0.00