Ascension Medical Group Michigan
Ascension Medical Group Michigan was paid $3.46M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
WARREN, MI 48093
Next to other Geriatric Medicine (Family Medicine) 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 | 23,477 | $679K | |
| 2019 | 18,616 | $494K | |
| 2020 | 18,057 | $495K | |
| 2021 | 38,921 | $658K | |
| 2022 | 39,368 | $552K | |
| 2023 | 22,322 | $374K | |
| 2024incomplete | 12,780 | $213K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 14,762 | 14,039 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 20,433 | 18,802 | $941K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.9% | 3,231 | 3,210 | $309K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.2% | 2,456 | 2,428 | $214K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 2,718 | 2,703 | $164K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 1,321 | 1,298 | $102K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 1,121 | 1,093 | $82K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 785 | 756 | $81K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 1,983 | 1,127 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 526 | 520 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,439 | 1,365 | $42K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 600 | 320 | $33K |
106 more codes
| 99205 | Prolong outpt/office vis | <1% | 260 | $29K |
| 93000 | <1% | 3,240 | $27K | |
| 99385 | <1% | 245 | $23K | |
| 20610 | <1% | 717 | $22K | |
| 99406 | <1% | 2,955 | $21K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,789 | $21K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 905 | $20K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 176 | $17K |
| 90688 | <1% | 865 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,523 | $13K |
| 80305 | <1% | 1,504 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,402 | $7K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,188 | $7K |
| 99442 | <1% | 273 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 55 | $6K |
| 90715 | <1% | 157 | $5K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 57 | $5K |
| 73564 | <1% | 173 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 668 | $4K |
| 99386 | <1% | 38 | $4K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 30 | $4K |
| 92557 | <1% | 153 | $3K | |
| 20611 | <1% | 53 | $3K | |
| 90674 | <1% | 106 | $3K | |
| 99221 | <1% | 55 | $3K | |
| 99441 | <1% | 361 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 45 | $2K |
| 81002 | <1% | 1,061 | $2K | |
| 92567 | <1% | 246 | $2K | |
| 99497 | <1% | 63 | $2K | |
| 31575 | <1% | 28 | $2K | |
| 93458 | <1% | 13 | $2K | |
| 90686 | <1% | 84 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 139 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 363 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 293 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | $1K |
| 94010 | <1% | 72 | $1K | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 91 | $1K |
| 81003 | <1% | 827 | $1K | |
| 93015 | <1% | 71 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 25 | $998.96 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $928.96 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 914 | $697.69 |
| 96127 | <1% | 241 | $658.73 | |
| 73030 | <1% | 39 | $648.81 | |
| 81025 | <1% | 108 | $648.19 | |
| 90656 | <1% | 19 | $388.50 | |
| 90661 | <1% | 13 | $360.32 | |
| 69210 | <1% | 13 | $352.93 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $349.31 |
| 99152 | <1% | 50 | $341.35 | |
| 99443 | <1% | 12 | $264.41 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $231.32 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 50 | $209.05 |
| 73610 | <1% | 12 | $192.80 | |
| 69209 | <1% | 13 | $119.17 | |
| 85610 | <1% | 34 | $96.68 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 652 | $94.34 |
| 80047 | <1% | 13 | $92.14 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $73.47 |
| 99453 | <1% | 12 | $68.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $67.84 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | $63.72 |
| 99000 | <1% | 22 | $35.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 63 | $19.50 |
| 99499 | <1% | 74 | $0.22 | |
| 1160F | <1% | 9,122 | $0.01 | |
| 1126F | <1% | 1,747 | $0.01 | |
| 3078F | 0% | 7,909 | $0.00 | |
| 4004F | 0% | 1,597 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 55 | $0.00 |
| 3725F | 0% | 5,490 | $0.00 | |
| 99401 | 0% | 195 | $0.00 | |
| 3077F | 0% | 1,238 | $0.00 | |
| 1159F | 0% | 7,373 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 955 | $0.00 |
| 2028F | 0% | 101 | $0.00 | |
| 3288F | 0% | 37 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 221 | $0.00 |
| 3046F | 0% | 118 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 27 | $0.00 |
| 3051F | 0% | 39 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 134 | $0.00 |
| 1125F | 0% | 1,653 | $0.00 | |
| 3075F | 0% | 2,815 | $0.00 | |
| 1036F | 0% | 8,681 | $0.00 | |
| 3079F | 0% | 5,413 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,221 | $0.00 |
| 3008F | 0% | 13,046 | $0.00 | |
| 3044F | 0% | 1,068 | $0.00 | |
| 3052F | 0% | 18 | $0.00 | |
| 99024 | 0% | 376 | $0.00 | |
| 3080F | 0% | 996 | $0.00 | |
| 94760 | 0% | 103 | $0.00 | |
| 3074F | 0% | 10,265 | $0.00 | |
| 1034F | 0% | 2,566 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 4,147 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,248 | $0.00 |
| 1035F | 0% | 156 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 4010F | 0% | 39 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 16 | $0.00 |
| 91301 | 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 |
|---|---|---|
| Ascension Michigan-Cmg | Clinton Township, MI | $14.24M |
| Ascension Medical Group Michigan | Warren, MI | $4.98M |
| Ascension Medical Group Michigan | Harper Woods, MI | $4.10M |
| Ascension Medical Group Michigan | Warren, MI | $3.78M |
| Ascension ST. John Hospital | Saint Clair Shores, MI | $2.02M |
| Seton Health Corporation of Southeastern Michigan | Clinton Township, MI | $1.84M |
| Ascension River District Hospital | East China, MI | $1.70M |
| Ascension Medical Group Michigan | Detroit, MI | $829K |
| Ascension Medical Group Michigan | Saint Clair Shores, MI | $763K |
| Ascension Medical Group Michigan | Novi, MI | $505K |
| Ascension Medical Group Michigan | Clinton Township, MI | $269K |
| Seton Health Corporation of Southeastern Michigan | Macomb, MI | $149K |
| Hartford Orthopaedic Plastic & Hand Surgeons, INC. | Glastonbury, CT | $96K |
| Ascension Medical Group Michigan | Warren, MI | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.