Medicaid Provider Spending

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

MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES

NPI: 1336573393 · MUSKEGON, MI 49444 · Clinical Cardiac Electrophysiology Physician · NPI assigned 08/27/2013

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$1.56M
Total Medicaid Paid
96,750
Total Claims
84,331
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMERCY HEALTH PARTNERS
NPI Enumeration Date08/27/2013

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
ST JOSEPH MERCY HOSPITAL-SMHC PONTIAC MI $51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY SPECIALTY SERVICES MUSKEGON MI $5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
LAKES OBGYN SPECIALIST NORTON SHORES MI $425K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,144 $190K
2019 11,187 $176K
2020 9,523 $158K
2021 14,332 $263K
2022 15,453 $270K
2023 17,780 $272K
2024 16,331 $226K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,646 10,289 $406K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54,558 45,351 $244K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,923 4,741 $221K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,398 1,359 $95K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,009 1,939 $88K
99233 Prolong inpt eval add15 m 1,597 686 $82K
99232 Subsequent hospital care, per day, moderate complexity 1,992 953 $69K
99215 Prolong outpt/office vis 973 961 $65K
93458 407 396 $50K
99223 Prolong inpt eval add15 m 468 445 $44K
93016 2,535 2,455 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 681 667 $21K
93248 1,278 1,274 $18K
93018 2,572 2,492 $18K
93308 1,272 1,188 $18K
99205 Prolong outpt/office vis 148 148 $14K
93000 1,895 1,850 $14K
93227 806 789 $10K
99254 100 90 $9K
93298 524 519 $7K
99152 1,071 1,001 $7K
93289 272 263 $5K
93295 165 165 $3K
93312 66 65 $3K
99255 27 26 $3K
93228 173 173 $2K
76376 445 441 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 81 37 $2K
93356 243 243 $2K
93325 875 815 $1K
99222 Initial hospital care, per day, moderate complexity 14 13 $1K
93294 83 83 $921.24
93015 28 27 $899.16
99443 46 46 $751.31
93321 58 55 $200.36
93288 12 12 $144.19
93320 16 16 $134.94
99153 Mod sedat endo service >5yrs 266 247 $53.46
0298T 14 14 $31.26
3075F 159 159 $0.00
3079F 170 170 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 93 90 $0.00
3074F 766 761 $0.00
3078F 782 776 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 43 41 $0.00