Medicaid Provider Spending

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

MECOSTA COUNTY MEDICAL CENTER

NPI: 1316945991 · BIG RAPIDS, MI 49307 · General Acute Care Hospital · NPI assigned 07/08/2005

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

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

$19.50M
Total Medicaid Paid
674,040
Total Claims
603,826
Beneficiaries
262
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CFO)
NPI Enumeration Date07/08/2005

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
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
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 62,185 $1.70M
2019 53,408 $1.48M
2020 72,976 $2.10M
2021 126,497 $3.68M
2022 121,720 $3.56M
2023 125,734 $3.57M
2024 111,520 $3.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 19,043 17,988 $3.75M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,462 8,867 $2.80M
99283 Emergency department visit for the evaluation and management, moderate severity 20,972 20,022 $2.66M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,888 11,837 $1.30M
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 11,267 10,829 $674K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,271 4,150 $646K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,558 6,702 $610K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,132 7,890 $586K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,652 4,575 $458K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,799 1,766 $291K
71046 Radiologic examination, chest; 2 views 7,540 7,297 $285K
96361 Intravenous infusion, hydration; each additional hour 8,806 7,937 $245K
96375 Therapeutic injection; each additional sequential IV push 9,820 8,592 $209K
59025 Fetal non-stress test 2,026 976 $197K
G0378 Hospital observation service, per hour 1,377 959 $193K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,896 1,858 $190K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,834 1,708 $172K
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 8,169 7,888 $142K
36415 Collection of venous blood by venipuncture 44,290 38,330 $133K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,100 3,054 $129K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,058 2,027 $126K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,756 1,396 $115K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,965 6,897 $114K
93975 913 898 $111K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,652 6,591 $108K
70450 Computed tomography, head or brain; without contrast material 2,284 2,226 $107K
80061 Lipid panel 9,076 9,025 $106K
76830 Ultrasound, transvaginal 1,802 1,777 $106K
86900 3,099 2,997 $102K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,298 3,181 $100K
71045 Radiologic examination, chest; single view 2,369 2,289 $97K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,340 960 $94K
71260 Computed tomography, thorax, diagnostic; with contrast material 591 588 $93K
77067 Screening mammography, bilateral, including computer-aided detection 1,948 1,946 $89K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,682 1,639 $89K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,979 9,511 $85K
74176 Computed tomography, abdomen and pelvis; without contrast material 786 763 $84K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,581 2,085 $79K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,453 1,438 $76K
80050 General health panel 2,704 2,669 $75K
82947 3,700 2,653 $74K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 127 124 $69K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 2,589 2,581 $66K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,228 4,028 $66K
97162 1,422 1,413 $65K
80053 Comprehensive metabolic panel 32,404 29,389 $64K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 569 568 $59K
71275 Computed tomographic angiography, chest, with contrast material 749 742 $57K
84443 Thyroid stimulating hormone (TSH) 8,353 8,189 $53K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 854 854 $52K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,791 2,781 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,940 4,282 $45K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,351 654 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,450 28,275 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,247 3,224 $37K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 600 576 $37K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,814 728 $34K
72100 913 904 $28K
76801 470 460 $28K
83036 Hemoglobin; glycosylated (A1C) 6,630 6,598 $27K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 2,541 2,533 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,429 1,418 $26K
72141 193 193 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,350 1,350 $24K
76642 534 533 $23K
86780 3,048 3,039 $23K
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 1,497 1,496 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 97 97 $21K
87086 Culture, bacterial; quantitative colony count, urine 9,696 9,225 $21K
94060 142 142 $19K
97161 401 395 $19K
87653 1,291 1,286 $17K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 84 84 $16K
82728 2,366 2,328 $15K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 115 111 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,138 8,316 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 701 623 $15K
77063 Screening digital breast tomosynthesis, bilateral 1,260 1,259 $15K
84702 2,971 2,150 $14K
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 1,145 1,023 $14K
73562 1,182 1,126 $14K
73630 1,758 1,701 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,399 1,351 $14K
93971 247 245 $13K
87808 2,678 2,653 $13K
74018 502 494 $13K
85027 7,460 6,955 $13K
84439 2,983 2,931 $12K
71250 205 205 $12K
82607 1,857 1,851 $11K
73030 963 922 $11K
73610 1,270 1,238 $11K
80048 Basic metabolic panel (calcium, ionized) 5,163 4,534 $11K
87205 6,586 6,388 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 25 24 $10K
87077 3,528 3,413 $10K
G0475 Hiv antigen/antibody, combination assay, screening 745 744 $10K
73130 1,128 1,099 $9K
0002A 287 287 $9K
97014 1,357 503 $9K
87506 76 76 $8K
76536 164 163 $8K
87081 4,491 4,443 $8K
83550 1,946 1,922 $8K
97535 Self-care/home management training, each 15 minutes 551 470 $8K
87070 2,329 2,251 $8K
82746 1,026 1,025 $7K
81001 21,910 19,817 $7K
0001A 306 306 $7K
83655 986 965 $7K
87186 2,354 2,286 $7K
C9399 Unclassified drugs or biologicals 137 137 $6K
83735 6,775 6,073 $6K
93017 291 288 $6K
83540 2,043 2,018 $6K
73110 733 708 $6K
76770 102 102 $6K
87563 318 316 $6K
87340 2,582 2,575 $5K
70551 Magnetic resonance imaging, brain; without contrast material 45 45 $5K
72125 Computed tomography, cervical spine; without contrast material 115 113 $5K
96376 2,638 1,989 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 466 457 $5K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 534 530 $5K
83880 1,940 1,864 $5K
97116 347 169 $5K
82570 2,694 2,535 $5K
85610 4,178 3,177 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 432 424 $4K
84403 293 291 $4K
80074 190 190 $4K
82950 1,396 1,391 $4K
83970 202 201 $4K
82043 1,234 1,230 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 223 221 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,275 2,006 $3K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 198 166 $3K
86038 544 540 $3K
86140 2,036 1,939 $3K
76819 Fetal biophysical profile; without non-stress testing 42 26 $3K
87147 1,241 1,226 $3K
97163 53 53 $3K
81025 8,852 8,434 $2K
77066 Tomosynthesis, mammo 36 36 $2K
77065 Tomosynthesis, mammo 55 49 $2K
J7050 Infusion, normal saline solution, 250 cc 8,502 7,436 $2K
85652 2,219 2,157 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 65 65 $2K
80076 468 444 $2K
73502 142 139 $2K
85007 1,725 1,589 $2K
73140 162 159 $1K
84100 1,260 1,088 $1K
84156 1,426 1,274 $1K
83690 7,401 6,934 $1K
82565 1,792 1,734 $932.71
71271 24 24 $859.50
85730 1,661 1,561 $768.30
84146 80 78 $767.69
86376 109 108 $758.96
87184 187 187 $733.33
84550 820 797 $667.92
97166 13 13 $584.21
87807 255 253 $564.86
86431 213 213 $549.95
82248 233 198 $544.19
84145 361 350 $540.89
73080 84 84 $497.64
86480 15 15 $440.70
87328 66 66 $410.91
86762 1,288 1,285 $382.68
82670 26 26 $382.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 60 60 $371.15
86308 229 227 $348.47
80069 87 81 $332.64
87329 66 66 $323.01
83605 4,384 3,677 $303.81
84425 36 36 $299.76
85379 1,208 1,185 $299.27
74019 38 37 $267.62
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $260.20
87420 81 79 $248.51
84112 27 25 $230.55
83001 26 26 $223.26
88304 90 90 $192.92
83516 27 24 $185.25
86850 2,875 2,792 $176.37
86665 26 25 $175.47
97022 34 14 $171.27
86738 59 59 $170.39
84402 12 12 $163.90
86200 25 25 $159.18
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,486 2,464 $153.38
82784 24 24 $149.57
93246 12 12 $146.30
82550 92 87 $141.58
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 13 13 $137.28
83993 12 12 $128.88
84484 6,187 4,086 $125.19
82247 48 37 $119.82
87040 444 300 $110.20
73090 12 12 $104.18
87338 14 14 $100.92
84481 12 12 $94.50
82077 934 871 $89.96
83615 30 26 $74.13
73590 14 13 $48.33
87503 54 53 $44.61
82805 81 69 $43.95
87088 28 28 $41.30
80143 209 201 $11.09
80179 166 161 $11.09
J2250 Injection, midazolam hydrochloride, per 1 mg 2,739 2,585 $0.08
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 9,576 8,897 $0.02
J2765 Injection, metoclopramide hcl, up to 10 mg 1,296 1,218 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 9,191 8,520 $0.00
J0690 Injection, cefazolin sodium, 500 mg 1,122 1,071 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,866 2,680 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 1,062 1,031 $0.00
A9270 Non-covered item or service 841 569 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,391 1,274 $0.00
J2704 Injection, propofol, 10 mg 2,386 2,263 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,448 1,971 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 282 275 $0.00
A9573 Injection, gadopiclenol, 1 ml 235 232 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 3,279 2,771 $0.00
12001 126 125 $0.00
71101 13 12 $0.00
86901 202 194 $0.00
J2060 Injection, lorazepam, 2 mg 352 297 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 31 26 $0.00
J8540 Dexamethasone, oral, 0.25 mg 148 143 $0.00
J2785 Injection, regadenoson, 0.1 mg 54 53 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 103 90 $0.00
J1630 Injection, haloperidol, up to 5 mg 267 237 $0.00
J1790 Injection, droperidol, up to 5 mg 88 82 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 274 101 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 17 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 122 119 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,268 2,977 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,626 6,909 $0.00
J7030 Infusion, normal saline solution , 1000 cc 12,517 11,164 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,089 6,790 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 1,610 1,472 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,758 1,546 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 3,254 2,909 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 582 544 $0.00
91300 585 561 $0.00
94729 100 100 $0.00
C9113 Injection, pantoprazole sodium, per vial 630 564 $0.00
90715 252 252 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 777 767 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 60 60 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 127 123 $0.00
J1171 Injection, hydromorphone, 0.1 mg 44 33 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 99 97 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 47 43 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 19 16 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 31 27 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 14 14 $0.00
29125 13 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 15 13 $0.00