W.A. FOOTE MEMORIAL HOSPITAL, INC
NPI: 1235676180
· JACKSON, MI 49201
· 363A00000X
$3.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
27,642 |
25,717 |
$1.06M |
| 99214 |
|
17,157 |
16,072 |
$948K |
| 99223 |
Prolong inpt eval add15 m |
1,648 |
1,563 |
$169K |
| 99203 |
|
3,272 |
3,246 |
$142K |
| 99215 |
Prolong outpt/office vis |
1,590 |
1,494 |
$130K |
| 99204 |
|
1,861 |
1,800 |
$125K |
| 99395 |
|
1,082 |
1,079 |
$74K |
| 99396 |
|
799 |
799 |
$61K |
| 99232 |
|
1,453 |
855 |
$60K |
| 20610 |
|
1,892 |
1,391 |
$55K |
| 99233 |
Prolong inpt eval add15 m |
655 |
319 |
$38K |
| 99212 |
|
1,317 |
1,270 |
$34K |
| 99222 |
|
458 |
438 |
$31K |
| 99394 |
|
369 |
369 |
$24K |
| 99393 |
|
239 |
239 |
$14K |
| 99220 |
|
132 |
131 |
$13K |
| 99205 |
Prolong outpt/office vis |
103 |
103 |
$10K |
| 99231 |
|
183 |
115 |
$4K |
| 99392 |
|
40 |
39 |
$2K |
| 99211 |
|
112 |
106 |
$1K |
| 90792 |
|
14 |
14 |
$1K |
| 99239 |
|
16 |
16 |
$1K |
| 11721 |
|
67 |
67 |
$876.18 |
| 99051 |
|
1,061 |
1,013 |
$665.18 |
| 17110 |
|
18 |
16 |
$613.00 |
| 99202 |
|
27 |
27 |
$540.25 |
| G2211 |
Complex e/m visit add on |
649 |
636 |
$295.75 |
| 93010 |
|
51 |
50 |
$221.78 |
| G2012 |
Brief check in by md/qhp |
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 |