Medicaid Provider Spending

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

ASCENSION BORGESS ALLEGAN HOSPITAL

NPI: 1295803377 · ALLEGAN, MI 49010 · Critical Access Hospital · NPI assigned 11/30/2006

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

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

$6.03M
Total Medicaid Paid
182,229
Total Claims
161,141
Beneficiaries
130
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date11/30/2006

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 HOSPITAL PLAINWELL MI $4.84M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $3.71M
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 22,835 $640K
2019 25,877 $549K
2020 25,678 $768K
2021 33,271 $1.14M
2022 26,496 $1.05M
2023 29,537 $1.12M
2024 18,535 $766K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,196 7,816 $1.23M
99284 Emergency department visit for the evaluation and management, high severity 5,254 4,949 $1.18M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,758 6,499 $630K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,341 1,302 $536K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,133 2,944 $386K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,424 4,122 $330K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,271 2,749 $288K
74177 Computed tomography, abdomen and pelvis; with contrast material 840 827 $201K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,199 975 $132K
96361 Intravenous infusion, hydration; each additional hour 3,029 2,545 $119K
96375 Therapeutic injection; each additional sequential IV push 2,914 2,589 $115K
71046 Radiologic examination, chest; 2 views 2,343 2,301 $107K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,377 2,326 $84K
71045 Radiologic examination, chest; single view 1,566 1,505 $76K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,350 1,325 $66K
64493 70 70 $47K
80061 Lipid panel 4,036 4,010 $38K
84443 Thyroid stimulating hormone (TSH) 5,057 4,940 $38K
80053 Comprehensive metabolic panel 11,954 10,904 $37K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,293 859 $36K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,974 11,440 $28K
83036 Hemoglobin; glycosylated (A1C) 3,595 3,568 $22K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 141 78 $22K
70450 Computed tomography, head or brain; without contrast material 406 402 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,035 1,028 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,447 1,423 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 871 859 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 870 858 $16K
36415 Collection of venous blood by venipuncture 11,945 10,590 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material 95 93 $14K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 336 333 $13K
77067 Screening mammography, bilateral, including computer-aided detection 206 206 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,713 2,513 $10K
83655 1,217 1,210 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 494 196 $9K
97162 196 192 $9K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,121 1,066 $8K
73630 353 319 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 45 38 $6K
80048 Basic metabolic panel (calcium, ionized) 1,789 1,620 $6K
84439 1,063 1,048 $6K
97161 121 115 $5K
87086 Culture, bacterial; quantitative colony count, urine 1,965 1,885 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,074 2,725 $5K
72110 67 67 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 64 63 $4K
81025 2,870 2,746 $3K
82728 415 409 $3K
73610 160 151 $3K
81002 1,146 1,097 $3K
82607 261 259 $2K
73130 146 138 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 55 26 $2K
85610 1,964 1,623 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 47 12 $2K
83735 3,608 3,294 $2K
73030 63 62 $2K
83880 644 607 $2K
73564 27 26 $2K
87186 503 493 $2K
77063 Screening digital breast tomosynthesis, bilateral 98 98 $1K
82570 432 425 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 386 383 $1K
82043 339 336 $1K
73110 79 78 $1K
85018 707 697 $1K
88142 82 82 $1K
81001 3,025 2,882 $1K
73562 45 43 $990.55
87077 275 269 $968.81
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 55 55 $896.76
83690 2,184 2,043 $885.49
81003 2,870 2,779 $837.06
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 750 695 $705.51
86140 265 248 $649.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 60 60 $641.11
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26 26 $548.50
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 15 13 $374.01
85652 270 249 $370.77
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 65 64 $335.14
87486 64 63 $282.56
87581 64 63 $282.56
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 428 427 $232.13
85027 55 54 $190.46
G0103 Prostate cancer screening; prostate specific antigen test (psa) 12 12 $161.18
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 489 340 $149.98
87081 39 39 $147.01
84484 1,670 1,525 $128.26
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 138 135 $94.57
88305 Level IV - Surgical pathology, gross and microscopic examination 109 105 $81.64
86703 12 12 $80.20
83605 1,204 1,152 $77.17
83540 12 12 $28.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,357 1,331 $24.75
85730 54 52 $18.37
J7120 Ringers lactate infusion, up to 1000 cc 461 423 $4.84
J7050 Infusion, normal saline solution, 250 cc 1,559 885 $3.06
J1885 Injection, ketorolac tromethamine, per 15 mg 3,125 2,934 $2.31
J7030 Infusion, normal saline solution , 1000 cc 3,599 3,056 $1.99
A9270 Non-covered item or service 7,438 7,031 $1.35
J2270 Injection, morphine sulfate, up to 10 mg 261 223 $1.30
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,058 967 $1.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,785 1,665 $0.94
J3490 Unclassified drugs 1,836 1,624 $0.67
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,932 2,527 $0.34
J2704 Injection, propofol, 10 mg 756 720 $0.11
J0696 Injection, ceftriaxone sodium, per 250 mg 26 24 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 150 149 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 230 215 $0.00
J1170 Injection, hydromorphone, up to 4 mg 278 192 $0.00
96376 86 61 $0.00
64494 69 69 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 292 266 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 211 122 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 125 113 $0.00
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 23 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 13 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 25 25 $0.00
87400 22 12 $0.00
85380 27 27 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 155 131 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 62 37 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 45 41 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 149 124 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 111 109 $0.00
94664 13 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 13 12 $0.00
64495 13 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 12 $0.00