Medicaid Provider Spending

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

ZEELAND COMMUNITY HOSPITAL

NPI: 1275536344 · ZEELAND, MI 49464 · Institutional Pharmacy · NPI assigned 05/23/2005

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

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$10.12M
Total Medicaid Paid
326,299
Total Claims
296,134
Beneficiaries
188
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CFO)
NPI Enumeration Date05/23/2005

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $162.64M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $72.21M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET NILES MI $9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,588 $636K
2019 17,946 $524K
2020 34,108 $1.06M
2021 68,114 $2.08M
2022 64,303 $2.05M
2023 66,313 $2.03M
2024 53,927 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 11,411 10,762 $2.31M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,412 4,214 $1.45M
99283 Emergency department visit for the evaluation and management, moderate severity 10,519 10,082 $1.35M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,798 7,928 $871K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 8,488 8,209 $567K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,885 2,804 $458K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,402 5,263 $401K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,184 2,157 $226K
96361 Intravenous infusion, hydration; each additional hour 6,405 5,400 $181K
71046 Radiologic examination, chest; 2 views 3,683 3,591 $153K
96375 Therapeutic injection; each additional sequential IV push 7,133 6,046 $146K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,438 1,098 $136K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,173 1,084 $123K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,105 1,519 $116K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 5,641 5,474 $108K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,485 2,412 $81K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,117 1,095 $70K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,516 1,489 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters 114 114 $58K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,912 6,664 $57K
82947 2,493 1,755 $55K
77067 Screening mammography, bilateral, including computer-aided detection 1,134 1,134 $53K
93975 430 424 $53K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 131 131 $50K
80061 Lipid panel 2,322 2,303 $47K
76830 Ultrasound, transvaginal 776 765 $45K
70450 Computed tomography, head or brain; without contrast material 1,064 1,038 $45K
86900 1,157 1,110 $41K
71045 Radiologic examination, chest; single view 940 908 $38K
36415 Collection of venous blood by venipuncture 18,632 16,347 $38K
80050 General health panel 1,329 1,314 $37K
74176 Computed tomography, abdomen and pelvis; without contrast material 306 301 $35K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,373 2,349 $34K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 459 370 $34K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,358 2,335 $34K
C9399 Unclassified drugs or biologicals 376 372 $28K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 1,047 1,046 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 441 434 $22K
41899 Unlisted procedure, dentoalveolar structures 200 197 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,498 1,447 $20K
80053 Comprehensive metabolic panel 16,162 14,571 $20K
92526 471 171 $19K
74230 177 177 $17K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 504 171 $17K
84443 Thyroid stimulating hormone (TSH) 2,494 2,467 $15K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 529 169 $14K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 886 373 $13K
G0378 Hospital observation service, per hour 188 177 $12K
71275 Computed tomographic angiography, chest, with contrast material 168 165 $12K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 741 741 $11K
0012A 338 338 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,183 13,652 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 63 63 $10K
76642 237 234 $10K
92611 188 188 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 885 879 $9K
77063 Screening digital breast tomosynthesis, bilateral 744 744 $9K
84702 1,600 1,137 $8K
73610 479 472 $8K
82728 1,240 1,223 $8K
87086 Culture, bacterial; quantitative colony count, urine 3,803 3,673 $8K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 718 716 $8K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 152 150 $8K
85027 3,876 3,588 $7K
0011A 325 325 $7K
73630 475 461 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 38 37 $6K
87653 351 350 $6K
86780 821 819 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 674 668 $6K
83036 Hemoglobin; glycosylated (A1C) 1,734 1,726 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,398 2,908 $6K
87081 2,335 2,317 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 260 256 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,406 5,021 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,754 1,591 $5K
83655 664 658 $5K
83550 1,042 1,025 $4K
80048 Basic metabolic panel (calcium, ionized) 2,104 1,872 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 32 32 $4K
G0475 Hiv antigen/antibody, combination assay, screening 317 316 $4K
96376 1,626 1,174 $4K
87077 1,457 1,399 $3K
83540 1,053 1,036 $3K
73110 190 187 $3K
82607 516 513 $3K
93971 54 54 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 15 13 $3K
73130 161 159 $2K
87186 926 900 $2K
76801 41 39 $2K
87205 1,604 1,561 $2K
83735 3,122 2,723 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67 67 $2K
72100 71 71 $2K
97162 38 38 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 25 $2K
81001 10,327 9,506 $2K
84439 391 380 $1K
73562 77 75 $1K
73030 95 94 $1K
82570 745 707 $1K
83880 493 479 $1K
85610 1,007 867 $1K
86140 751 677 $926.71
0031A 24 24 $908.40
87340 486 486 $865.39
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 84 83 $848.23
82746 118 118 $832.73
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 126 119 $778.50
87070 249 246 $752.21
0001A 20 20 $742.95
86850 999 966 $734.51
83690 4,852 4,427 $725.97
97802 12 12 $717.40
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 14 13 $711.09
71250 13 13 $696.14
84425 64 63 $693.57
85652 716 696 $636.29
74018 24 24 $632.24
81025 6,554 6,242 $607.02
84100 491 402 $561.72
0002A 14 14 $529.90
96415 14 12 $511.11
87808 309 305 $364.32
82565 2,806 2,738 $355.44
87147 208 205 $325.74
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 14 12 $212.76
85007 260 238 $210.50
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 57 54 $202.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 907 902 $185.20
84156 188 176 $178.40
85730 198 186 $166.64
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 75 52 $151.13
85379 342 333 $104.30
82950 39 39 $104.12
87807 86 85 $101.14
84484 2,891 2,066 $64.73
81000 309 286 $59.44
80076 14 12 $53.64
82247 16 12 $44.85
80069 15 12 $43.56
83605 763 629 $40.85
82043 12 12 $35.68
86762 91 91 $33.50
87040 20 12 $24.34
82248 14 13 $23.52
86308 15 15 $20.93
J1885 Injection, ketorolac tromethamine, per 15 mg 7,372 6,786 $1.40
J7050 Infusion, normal saline solution, 250 cc 6,431 5,428 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,629 1,318 $0.00
A9573 Injection, gadopiclenol, 1 ml 151 150 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 991 912 $0.00
J2704 Injection, propofol, 10 mg 4,236 3,802 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,514 1,473 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 578 510 $0.00
J2060 Injection, lorazepam, 2 mg 102 88 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,577 2,463 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 609 587 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,843 2,401 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 193 185 $0.00
J0690 Injection, cefazolin sodium, 500 mg 378 348 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 94 83 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 264 221 $0.00
J1630 Injection, haloperidol, up to 5 mg 305 278 $0.00
C1889 Implantable/insertable device, not otherwise classified 121 115 $0.00
A9270 Non-covered item or service 76 39 $0.00
91301 665 654 $0.00
82077 41 39 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 28 27 $0.00
91303 23 23 $0.00
87503 13 13 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 17 17 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 4,086 3,639 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,229 2,038 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,429 1,258 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 57 52 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,947 5,963 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,459 4,311 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 615 580 $0.00
J7030 Infusion, normal saline solution , 1000 cc 9,693 8,258 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 6,108 5,699 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 624 539 $0.00
J1171 Injection, hydromorphone, 0.1 mg 57 31 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 360 357 $0.00
C9113 Injection, pantoprazole sodium, per vial 117 90 $0.00
91300 31 31 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 18 13 $0.00