Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Spectrum Health Continuing Care

Spectrum Health Continuing Care was paid $1.87M by Medicaid between Oct 2021 and Sep 2024, across 1 billing code. Its largest line is Q5001, Hospice or home health care provided in patient's home/residence — 100% of everything it billed.

33Billing provider infoSPECTRUM HEALTH CONTINUING CARE
GRAND RAPIDS, MI 49525
33aNPI1225012099assigned 12/05/2005
28Total paid$1.87M
24GClaims10,546
24DCodes billed1
24AFirst – last monthOct 2021 – Sep 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Michigan

Rank by total paid#5 of 19
Median peer was paid$410K
This provider vs. median4.6×

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 Concentration100% of spending on code Q5001 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2021149$25K
2022759$135K
20236,177$1.09M
2024incomplete3,461$614K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q5001 Hospice or home health care provided in patient's home/residence 100% 10,546 495 $1.87M

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 officialCOX, MATTHEW (CFO)
Same official

Other billing entities under COX, MATTHEW

Full network →
ProviderLocationPaid
Spectrum Health HospitalsGrand Rapids, MI$243.22M
Oakwood Healthcare, INC.Dearborn, MI$165.61M
William Beaumont HospitalRoyal Oak, MI$162.64M
William Beaumont HospitalTroy, MI$84.88M
Lakeland Hospitals at Niles and ST Joseph, INCSaint Joseph, MI$78.22M
Botsford General HospitalFarmington Hills, MI$72.21M
William Beaumont HospitalGrosse 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 UnitedGreenville, MI$20.99M
Mecosta County Medical CenterBig Rapids, MI$19.50M
Pennock HospitalHastings, MI$15.24M
Reed City Hospital CorporationReed City, MI$15.02M
Zeeland Community HospitalZeeland, MI$10.12M
Lakeland Community Hospital WatervlietWatervliet, MI$9.85M
Lakeland Community Hospital WatervlietNiles, MI$9.05M
Visiting Nurse Services of Western MichiganGrand Rapids, MI$4.54M
Lakeland Hospitals at Niles and ST Joseph, INCBenton Harbor, MI$3.33M
Banner Mesa Surgery Center LLCMesa, AZ$2.80M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.