Medicaid Provider Spending

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

ASCENSION BORGESS ALLEGAN HOSPITAL

NPI: 1265910343 · ALLEGAN, MI 49010 · Rural Health Clinic/Center · NPI assigned 08/01/2018

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

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$3.71M
Total Medicaid Paid
144,987
Total Claims
130,870
Beneficiaries
55
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date08/01/2018

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal Paid
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $43.08M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $10.60M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $7.97M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $6.88M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $6.03M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $4.84M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $3.71M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $2.70M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $2.55M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $2.07M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $1.64M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $1.58M
ASCENSION BORGESS HOSPITAL PORTAGE MI $1.22M
ASCENSION BORGESS ALLEGAN HOSPITAL GOBLES MI $298K
ASCENSION BORGESS ALLEGAN HOSPITAL OTSEGO MI $294K
ASCENSION BORGESS ALLEGAN HOSPITAL FENNVILLE MI $246K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $91K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $55K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $43K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,375 $104K
2019 27,071 $676K
2020 22,567 $566K
2021 27,351 $671K
2022 26,756 $684K
2023 23,616 $641K
2024 12,251 $367K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 63,146 53,648 $3.58M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,673 24,230 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,482 18,393 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,294 2,287 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,969 1,965 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,545 1,512 $4K
90686 2,586 2,580 $3K
90472 Immunization administration, each additional vaccine (list separately) 1,875 1,858 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,364 4,334 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 748 740 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 746 739 $2K
90677 99 98 $2K
90834 Psychotherapy, 45 minutes with patient 2,770 2,233 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,247 1,245 $2K
90674 129 129 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,171 1,164 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 214 214 $1K
90651 381 380 $917.36
99215 Prolong outpt/office vis 415 403 $895.59
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 81 $523.87
98968 100 76 $490.39
92551 1,058 1,058 $438.80
96127 1,779 1,485 $254.42
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 436 429 $247.88
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 542 527 $214.98
90715 159 159 $209.52
G9007 Coordinated care fee, scheduled team conference 47 40 $185.26
90661 33 33 $132.85
90734 364 363 $128.85
90460 Immunization administration through 18 years of age via any route, first or only component 1,833 1,816 $84.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 194 191 $82.14
99308 Subsequent nursing facility care, per day, straightforward 220 206 $77.26
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 12 $44.00
99188 77 77 $27.08
90670 1,032 1,029 $0.00
90633 461 460 $0.00
99173 1,490 1,486 $0.00
90461 767 764 $0.00
90710 40 39 $0.00
90700 24 24 $0.00
99307 80 73 $0.00
90685 77 77 $0.00
90791 Psychiatric diagnostic evaluation 44 44 $0.00
81002 25 25 $0.00
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) 69 67 $0.00
G0444 Annual depression screening, 5 to 15 minutes 317 315 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 63 63 $0.00
90707 12 12 $0.00
90647 631 630 $0.00
90723 623 621 $0.00
90696 41 41 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 132 129 $0.00
90716 12 12 $0.00
90680 243 242 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $0.00