Medicaid Provider Spending

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

W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI: 1235676180 · JACKSON, MI 49201 · Physician Assistant · NPI assigned 01/30/2017

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

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$3.00M
Total Medicaid Paid
119,885
Total Claims
112,244
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, MARK (SVP)
Parent OrganizationHENRY FORD ALLEGIANCE HEALTH GROUP
NPI Enumeration Date01/30/2017

Related Entities

Other providers sharing the same authorized official: SMITH, MARK

ProviderCityStateTotal Paid
HUNTINGTON CARE, LLC ROSEVILLE CA $7.66M
HENRY FORD HEALTH SYSTEM DETROIT MI $5.17M
HENRY FORD HEALTH SYSTEM DETROIT MI $3.37M
W. A. FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $2.83M
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $2.38M
HAND IN HAND BETTENDORF IA $1.53M
DRS. MARK & STEVEN SMITH GREENEVILLE TN $1.17M
HENRY FORD WYANDOTTE HOSPITAL ALLEN PARK MI $803K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $645K
WA FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $600K
HENRY FORD WYANDOTTE HOSPITAL BROWNSTOWN TWP MI $322K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $311K
HENRY FORD WYANDOTTE HOSPITAL TRENTON MI $294K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $278K
T H SMITH OD AND THOMAS K SMITH OD PC MC KENZIE TN $263K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $237K
MARK A. SMITH MD INC. AKRON OH $124K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $112K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $104K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,916 $288K
2019 15,613 $415K
2020 17,093 $395K
2021 19,321 $438K
2022 21,590 $482K
2023 23,707 $568K
2024 15,645 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,642 25,717 $1.06M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,157 16,072 $948K
99223 Prolong inpt eval add15 m 1,648 1,563 $169K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,272 3,246 $142K
99215 Prolong outpt/office vis 1,590 1,494 $130K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,861 1,800 $125K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,082 1,079 $74K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 799 799 $61K
99232 Subsequent hospital care, per day, moderate complexity 1,453 855 $60K
20610 1,892 1,391 $55K
99233 Prolong inpt eval add15 m 655 319 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,317 1,270 $34K
99222 Initial hospital care, per day, moderate complexity 458 438 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 369 369 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 239 239 $14K
99220 132 131 $13K
99205 Prolong outpt/office vis 103 103 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 183 115 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 40 39 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 112 106 $1K
90792 Psychiatric diagnostic evaluation with medical services 14 14 $1K
99239 Hospital discharge day management, more than 30 minutes 16 16 $1K
11721 67 67 $876.18
99051 1,061 1,013 $665.18
17110 18 16 $613.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 27 $540.25
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 649 636 $295.75
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 51 50 $221.78
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 15 $123.44
99441 17 17 $120.80
3077F 1,157 1,122 $0.19
3351F 16,325 15,283 $0.19
3079F 3,923 3,805 $0.19
3078F 14,165 13,519 $0.00
3352F 745 729 $0.00
3074F 15,333 14,589 $0.00
3080F 561 547 $0.00
3353F 1,159 1,115 $0.00
3075F 2,284 2,237 $0.00
3354F 216 207 $0.00
1101F 78 75 $0.00