Medicaid Provider Spending

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

MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST

NPI: 1215255799 · MUSKEGON, MI 49442 · Gynecology Physician · NPI assigned 05/10/2010

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

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

$1.67M
Total Medicaid Paid
32,904
Total Claims
28,895
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMERCY HEALTH PARTNERS
NPI Enumeration Date05/10/2010

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 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
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
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 5,382 $294K
2019 3,783 $192K
2020 4,187 $205K
2021 4,359 $310K
2022 3,769 $286K
2023 4,578 $219K
2024 6,846 $163K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 357 355 $275K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,875 4,662 $249K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 263 263 $201K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 93 93 $193K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,675 4,471 $165K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,813 1,800 $116K
59025 Fetal non-stress test 4,325 2,241 $74K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,926 1,754 $71K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,266 1,987 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 793 783 $60K
76801 1,412 1,285 $49K
76830 Ultrasound, transvaginal 1,364 1,228 $39K
59430 167 167 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 173 173 $12K
99238 Hospital discharge day management, 30 minutes or less 283 275 $11K
99283 Emergency department visit for the evaluation and management, moderate severity 233 219 $10K
58300 239 236 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg 103 99 $7K
90715 246 239 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 111 111 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 450 348 $5K
81025 542 510 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 368 360 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 129 113 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 87 75 $2K
76813 42 31 $2K
90686 75 74 $1K
76819 Fetal biophysical profile; without non-stress testing 34 27 $799.48
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 71 71 $553.17
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 13 $270.62
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 17 15 $126.80
81002 26 26 $27.50
3078F 1,469 1,436 $0.00
0502F 1,334 912 $0.00
3074F 1,788 1,736 $0.00
3079F 482 480 $0.00
3075F 56 56 $0.00
0500F 167 138 $0.00
0503F 15 14 $0.00
99024 21 19 $0.00