Vail House-Midland INC.

Vail House-Midland INC. was paid $6.19M by Medicaid between Jul 2019 and Dec 2024, across 2 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 98% of everything it billed.

33Billing provider infoVAIL HOUSE-MIDLAND INC.
MIDLAND, MI 48640

33aNPI1184137010assigned 11/14/2017

33bProvider typeHome Health Agency

28Total paid$6.19M

24GClaims59,342

24DCodes billed2

24AFirst – last monthJul 2019 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Michigan

Rank by total paid#53 of 328

Median peer was paid$697K

This provider vs. median8.9×

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.

Single-Code Concentration98% of spending on code H2015 with only 2 total codes billed. Highly concentrated billing profile.

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
2019	3,353	$259K
2020	9,358	$1.06M
2021	11,306	$1.32M
2022	12,822	$1.18M
2023	11,752	$1.17M
2024incomplete	10,751	$1.21M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	98%	49,402	964	$6.09M
S0215	Non-emergency transportation; mileage, per mile	1.7%	9,940	540	$108K

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 officialSUTTON, LORI (EXECUTIVE DIRECTOR)