Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › PONTIAC › SJMH MEDICAL PRACTICE-SMHC

SJMH MEDICAL PRACTICE-SMHC

NPI: 1346284684 · PONTIAC, MI 48341 · Neonatal Intensive Care Registered Nurse · NPI assigned 06/16/2006

$14.83M
Total Medicaid Paid
332,038
Total Claims
284,625
Beneficiaries
173
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTRIEBICH, SHANNON (PRESIDENT)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: STRIEBICH, SHANNON

ProviderCityStateTotal Paid
SJMH MEDICAL PRACTICE-SMHC WATERFORD MI $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73,545 $2.98M
2019 79,528 $3.32M
2020 64,240 $2.87M
2021 52,811 $2.62M
2022 20,854 $1.04M
2023 23,104 $1.17M
2024 17,956 $820K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,950 44,069 $2.27M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,115 2,099 $1.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,618 22,945 $1.56M
59426 1,189 1,185 $824K
59514 593 583 $497K
99233 Prolong inpt eval add15 m 7,983 2,757 $438K
76818 12,821 5,399 $387K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,266 4,217 $379K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,689 4,667 $356K
99223 Prolong inpt eval add15 m 3,199 2,828 $311K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,778 4,578 $309K
99232 Subsequent hospital care, per day, moderate complexity 8,002 3,643 $300K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,824 3,798 $299K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,872 4,828 $283K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,093 5,069 $266K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,702 9,716 $256K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 690 170 $243K
99460 4,431 4,362 $241K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,177 3,165 $236K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,428 2,404 $214K
76820 14,671 6,641 $210K
99238 Hospital discharge day management, 30 minutes or less 4,723 4,603 $203K
99222 Initial hospital care, per day, moderate complexity 2,776 2,587 $195K
99215 Prolong outpt/office vis 2,170 2,084 $188K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,920 1,913 $152K
99479 Subsequent intensive care, per day, very low birth weight infant 1,417 170 $144K
99385 1,350 1,340 $128K
59025 Fetal non-stress test 6,008 3,116 $127K
59430 599 599 $105K
59425 269 268 $101K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,178 12,963 $101K
90472 Immunization administration, each additional vaccine (list separately) 7,083 6,955 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,251 4,030 $94K
99468 97 94 $76K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,233 1,517 $72K
76801 2,313 2,259 $71K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 626 260 $69K
99386 582 576 $66K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,754 2,121 $64K
76819 Fetal biophysical profile; without non-stress testing 2,863 2,266 $60K
99283 Emergency department visit for the evaluation and management, moderate severity 1,355 1,254 $56K
76813 1,659 1,650 $56K
99221 1,080 994 $55K
99381 648 645 $55K
99464 1,217 1,211 $52K
99219 664 651 $48K
54150 819 810 $46K
J1050 Injection, medroxyprogesterone acetate, 1 mg 694 670 $46K
90651 1,367 1,358 $44K
99239 Hospital discharge day management, more than 30 minutes 687 682 $41K
99480 Subsequent intensive care, per day, low birth weight infant 367 94 $40K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 385 361 $38K
99205 Prolong outpt/office vis 310 308 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,809 1,629 $35K
90715 1,710 1,688 $33K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,108 1,101 $31K
90686 4,344 4,322 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,088 2,023 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,069 2,728 $24K
93000 2,659 2,607 $23K
99478 167 43 $21K
36415 Collection of venous blood by venipuncture 7,838 7,037 $18K
99284 Emergency department visit for the evaluation and management, high severity 266 254 $18K
90732 159 159 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,700 1,565 $17K
99217 402 394 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 451 448 $16K
99462 669 548 $16K
99463 224 223 $15K
99253 226 211 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,238 1,123 $14K
81025 2,198 2,160 $14K
99383 150 150 $14K
81003 6,013 5,836 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 102 102 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 614 553 $9K
93320 382 358 $9K
99382 96 96 $9K
90620 357 355 $9K
81002 3,110 3,043 $8K
99384 84 83 $8K
93325 692 648 $8K
99188 1,017 1,016 $7K
99255 58 56 $7K
0001A 221 218 $7K
76825 40 38 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 260 253 $6K
0002A 189 186 $6K
96127 1,896 1,824 $6K
90670 3,478 3,456 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 388 383 $5K
99220 56 54 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 472 448 $5K
96161 1,897 1,741 $4K
90473 1,271 1,261 $4K
90474 714 711 $4K
99465 38 38 $3K
90707 1,326 1,324 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 81 81 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 40 40 $3K
22853 15 14 $3K
99218 46 43 $2K
90750 14 14 $2K
99000 296 293 $2K
90734 981 975 $2K
87428 27 27 $2K
0011A 38 38 $1K
0012A 34 34 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 235 230 $1K
76827 26 26 $1K
99254 12 12 $1K
57454 13 13 $1K
90621 26 26 $987.39
90688 60 60 $889.28
92552 47 47 $865.82
94010 42 41 $775.36
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 62 52 $752.28
99442 63 62 $689.73
83655 62 62 $663.24
58300 15 15 $648.83
99308 Subsequent nursing facility care, per day, straightforward 14 14 $615.56
90716 1,213 1,212 $367.58
99406 59 59 $363.42
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 14 $360.31
99443 14 14 $273.33
85018 85 85 $166.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 96 82 $143.15
96160 45 45 $140.54
90662 19 16 $128.08
69209 15 14 $119.45
99441 15 15 $95.98
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $62.44
G0008 Administration of influenza virus vaccine 57 52 $38.50
J1885 Injection, ketorolac tromethamine, per 15 mg 14 14 $13.42
G8420 Bmi is documented within normal parameters and no follow-up plan is required 718 685 $0.30
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,046 1,925 $0.17
1159F 30 27 $0.12
1160F 127 123 $0.11
3351F 523 510 $0.03
90685 888 876 $0.02
4004F 694 659 $0.01
0503F 84 82 $0.01
0500F 131 122 $0.01
3288F 496 483 $0.00
90461 225 224 $0.00
90648 414 412 $0.00
90633 1,981 1,973 $0.00
3078F 948 926 $0.00
98966 173 139 $0.00
90700 699 696 $0.00
3725F 1,879 1,594 $0.00
90710 343 341 $0.00
0502F 1,772 1,143 $0.00
90681 306 301 $0.00
91300 54 47 $0.00
90655 12 12 $0.00
1033F 13 13 $0.00
99173 39 39 $0.00
90680 1,713 1,704 $0.00
90698 2,608 2,591 $0.00
3074F 1,101 1,077 $0.00
90744 1,754 1,737 $0.00
90696 803 799 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,748 2,628 $0.00
90723 12 12 $0.00
1036F 2,003 1,890 $0.00
3079F 212 207 $0.00
1034F 394 388 $0.00
90647 128 126 $0.00
3075F 70 69 $0.00
3008F 93 89 $0.00
99024 82 63 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 14 14 $0.00