Physician
W.A. Foote Memorial Hospital, INC
W.A. Foote Memorial Hospital, INC was paid $528K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoW.A. FOOTE MEMORIAL HOSPITAL, INC
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1235676446assigned 01/25/2017
33bProvider typeNeurology Physician
28Total paid$528K
24GClaims13,330
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Michigan
Rank by total paid#15 of 78
Median peer was paid$69K
This provider vs. median7.7×
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 SMITH, MARK 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 | 767 | $41K | |
| 2019 | 1,398 | $68K | |
| 2020 | 1,556 | $65K | |
| 2021 | 2,832 | $101K | |
| 2022 | 2,032 | $70K | |
| 2023 | 2,648 | $106K | |
| 2024incomplete | 2,097 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 3,638 | 3,619 | $180K |
| 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 | 16% | 1,181 | 1,175 | $83K |
| 99223 | Prolong inpt eval add15 m | 15% | 789 | 781 | $81K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 832 | 825 | $65K |
| 64615 | 5.9% | 490 | 490 | $31K | |
| 95886 | 5.0% | 696 | 696 | $26K | |
| 99205 | Prolong outpt/office vis | 4.6% | 269 | 269 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 585 | 582 | $20K |
| 99254 | <1% | 51 | 50 | $4K | |
| 95816 | <1% | 127 | 127 | $4K | |
| 95819 | <1% | 107 | 105 | $3K | |
| 95909 | <1% | 38 | 38 | $2K |
8 more codes
| 99245 | <1% | 12 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $841.17 |
| 99417 | Prolong home eval add 15m | <1% | 13 | $249.33 |
| 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) | <1% | 336 | $216.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $167.44 |
| 3351F | 0% | 4,060 | $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 officialSMITH, MARK (SVP)
Parent organizationHENRY FORD ALLEGIANCE HEALTH GROUP
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.