Physician
Ascension Providence Hospital
Ascension Providence Hospital was paid $2.88M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoASCENSION PROVIDENCE HOSPITAL
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
33aNPI1265497226assigned 04/20/2006
33bProvider typePediatrics Physician
28Total paid$2.88M
24GClaims145,404
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#47 of 349
Median peer was paid$321K
This provider vs. median9.0×
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 STARKEL, SARAH 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 | 16,793 | $378K | |
| 2019 | 17,512 | $394K | |
| 2020 | 13,081 | $312K | |
| 2021 | 14,307 | $373K | |
| 2022 | 27,254 | $416K | |
| 2023 | 34,508 | $518K | |
| 2024incomplete | 21,949 | $488K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 13,962 | 11,907 | $834K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 5,620 | 5,602 | $431K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 5,855 | 5,773 | $409K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 13,157 | 13,051 | $289K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 3,785 | 3,783 | $284K |
| 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 | 9.3% | 3,185 | 2,987 | $266K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 2,135 | 2,132 | $174K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 3,456 | 2,906 | $33K |
| 92587 | <1% | 2,459 | 2,454 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,696 | 1,637 | $21K |
| 83655 | <1% | 1,779 | 1,759 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 697 | 661 | $17K |
59 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,274 | $12K |
| 96127 | <1% | 2,914 | $8K | |
| 99177 | <1% | 5,526 | $8K | |
| 88720 | <1% | 2,525 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 169 | $7K |
| 81002 | <1% | 2,464 | $6K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 50 | $6K |
| 99460 | <1% | 84 | $4K | |
| 85018 | <1% | 1,987 | $4K | |
| 99051 | <1% | 404 | $3K | |
| 99381 | <1% | 24 | $2K | |
| 36416 | <1% | 1,368 | $2K | |
| 90480 | <1% | 30 | $1K | |
| 90677 | <1% | 733 | $1K | |
| 0072A | <1% | 21 | $804.30 | |
| 0071A | <1% | 17 | $658.57 | |
| 96380 | <1% | 31 | $646.41 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $525.98 |
| 81003 | <1% | 324 | $507.96 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $407.45 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 34 | $366.17 |
| G0008 | Administration of influenza virus vaccine | <1% | 18 | $200.05 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $87.15 |
| 94760 | <1% | 2,883 | $65.62 | |
| 90686 | <1% | 5,486 | $48.52 | |
| 90661 | <1% | 374 | $38.69 | |
| 90461 | <1% | 1,024 | $7.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $1.88 |
| 98967 | <1% | 13 | $0.02 | |
| 90633 | 0% | 1,882 | $0.00 | |
| 90707 | 0% | 783 | $0.00 | |
| 90700 | 0% | 481 | $0.00 | |
| 90715 | 0% | 101 | $0.00 | |
| 90710 | 0% | 325 | $0.00 | |
| 90670 | 0% | 3,245 | $0.00 | |
| 1159F | 0% | 8,890 | $0.00 | |
| 90734 | 0% | 710 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 67 | $0.00 |
| 1160F | 0% | 8,889 | $0.00 | |
| 3078F | 0% | 3,342 | $0.00 | |
| 90380 | 0% | 14 | $0.00 | |
| 91321 | 0% | 26 | $0.00 | |
| 90744 | 0% | 2,133 | $0.00 | |
| 3074F | 0% | 3,362 | $0.00 | |
| 90647 | 0% | 591 | $0.00 | |
| 90680 | 0% | 2,798 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,196 | $0.00 |
| 90698 | 0% | 2,999 | $0.00 | |
| 90381 | 0% | 32 | $0.00 | |
| 90716 | 0% | 754 | $0.00 | |
| 90696 | 0% | 360 | $0.00 | |
| 1036F | 0% | 3,376 | $0.00 | |
| 90651 | 0% | 631 | $0.00 | |
| 3008F | 0% | 6,471 | $0.00 | |
| 90620 | 0% | 269 | $0.00 | |
| 1126F | 0% | 2,961 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $0.00 |
| 90674 | 0% | 25 | $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 officialSTARKEL, SARAH (CREDENTIALING COORDINATOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.