Medicaid Provider Spending

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

ST JOSEPH MERCY HOSPITAL

NPI: 1184743866 · CANTON, MI 48188 · Emergency Medicine Physician · NPI assigned 03/27/2007

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$474K
Total Medicaid Paid
12,716
Total Claims
12,394
Beneficiaries
16
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CFO SE MI REGION)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
ST JOSEPH MERCY HOSPITAL-SMHC PONTIAC MI $51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY SPECIALTY SERVICES MUSKEGON MI $5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES MUSKEGON MI $1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
LAKES OBGYN SPECIALIST NORTON SHORES MI $425K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,297 $204K
2019 6,187 $227K
2020 1,232 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,878 2,760 $179K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,245 2,234 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,940 1,897 $86K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 771 766 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,410 1,335 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 847 830 $8K
71046 Radiologic examination, chest; 2 views 462 455 $3K
84703 499 490 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 285 274 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 119 116 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 264 260 $2K
81003 829 815 $1K
73630 84 81 $471.55
73610 59 57 $465.11
74018 12 12 $144.00
73130 12 12 $44.55