Physician
Mercy Health Partners-Obstetrics and Gynecology Specialist
Mercy Health Partners-Obstetrics and Gynecology Specialist was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 59426, — 16% of everything it billed.
33Billing provider infoMERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST
MUSKEGON, MI 49442
MUSKEGON, MI 49442
33aNPI1215255799assigned 05/10/2010
33bProvider typeGynecology Physician
28Total paid$1.67M
24GClaims32,904
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Michigan
Rank by total paid#3 of 17
Median peer was paid$60K
This provider vs. median28×
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.
Entity ProliferationAuthorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 5,382 | $294K | |
| 2019 | 3,783 | $192K | |
| 2020 | 4,187 | $205K | |
| 2021 | 4,359 | $310K | |
| 2022 | 3,769 | $286K | |
| 2023 | 4,578 | $219K | |
| 2024incomplete | 6,846 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 16% | 357 | 355 | $275K | |
| 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 | 15% | 4,875 | 4,662 | $249K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 12% | 263 | 263 | $201K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 12% | 93 | 93 | $193K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 4,675 | 4,471 | $165K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.0% | 1,813 | 1,800 | $116K |
| 59025 | Fetal non-stress test | 4.5% | 4,325 | 2,241 | $74K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.3% | 1,926 | 1,754 | $71K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.1% | 2,266 | 1,987 | $69K |
| 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 | 3.6% | 793 | 783 | $60K |
| 76801 | 2.9% | 1,412 | 1,285 | $49K | |
| 76830 | Ultrasound, transvaginal | 2.3% | 1,364 | 1,228 | $39K |
28 more codes
| 59430 | 1.6% | 167 | $27K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 173 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 283 | $11K |
| 99283 | Emergency room visit (moderate) | <1% | 233 | $10K |
| 58300 | <1% | 239 | $8K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 103 | $7K |
| 90715 | <1% | 246 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 111 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 450 | $5K |
| 81025 | <1% | 542 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 368 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 129 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 87 | $2K |
| 76813 | <1% | 42 | $2K | |
| 90686 | <1% | 75 | $1K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 34 | $799.48 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 71 | $553.17 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $270.62 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 17 | $126.80 |
| 81002 | <1% | 26 | $27.50 | |
| 3078F | 0% | 1,469 | $0.00 | |
| 0502F | 0% | 1,334 | $0.00 | |
| 3074F | 0% | 1,788 | $0.00 | |
| 3079F | 0% | 482 | $0.00 | |
| 3075F | 0% | 56 | $0.00 | |
| 0500F | 0% | 167 | $0.00 | |
| 0503F | 0% | 15 | $0.00 | |
| 99024 | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent organizationMERCY HEALTH PARTNERS
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.