SPECTRUM HEALTH CONTINUING CARE · NPI 1225012099

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code Q5001 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$1.87M

Total Medicaid Paid

10,546

Total Claims

495

Beneficiaries

Codes Billed

2021-10

First Month

2024-09

Last Month

Provider Details

Authorized Official	COX, MATTHEW (CFO)
NPI Enumeration Date	12/05/2005

Related Entities

Provider	City	State	Total Paid
SPECTRUM HEALTH HOSPITALS	GRAND RAPIDS	MI	$243.22M
OAKWOOD HEALTHCARE, INC.	DEARBORN	MI	$165.61M
WILLIAM BEAUMONT HOSPITAL	ROYAL OAK	MI	$162.64M
WILLIAM BEAUMONT HOSPITAL	TROY	MI	$84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC	SAINT JOSEPH	MI	$78.22M
BOTSFORD GENERAL HOSPITAL	FARMINGTON HILLS	MI	$72.21M
WILLIAM BEAUMONT HOSPITAL	GROSSE POINTE	MI	$61.49M
OAKWOOD HEALTHCARE, INC.	WAYNE	MI	$55.44M
OAKWOOD HEALTHCARE, INC.	TAYLOR	MI	$50.28M
OAKWOOD HEALTHCARE, INC.	TRENTON	MI	$23.26M
SPECTRUM HEALTH UNITED	GREENVILLE	MI	$20.99M
MECOSTA COUNTY MEDICAL CENTER	BIG RAPIDS	MI	$19.50M
PENNOCK HOSPITAL	HASTINGS	MI	$15.24M
REED CITY HOSPITAL CORPORATION	REED CITY	MI	$15.02M
ZEELAND COMMUNITY HOSPITAL	ZEELAND	MI	$10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET	WATERVLIET	MI	$9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET	NILES	MI	$9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN	GRAND RAPIDS	MI	$4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC	BENTON HARBOR	MI	$3.33M
BANNER MESA SURGERY CENTER LLC	MESA	AZ	$2.80M

Monthly Spending Trend

Yearly Breakdown

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
Q5001	Hospice or home health care provided in patient's home/residence	10,546	495	$1.87M