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 · 163WN0002X

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

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 48,950 44,069 $2.27M
59409 2,115 2,099 $1.61M
99214 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 4,266 4,217 $379K
99392 4,689 4,667 $356K
99223 Prolong inpt eval add15 m 3,199 2,828 $311K
99391 4,778 4,578 $309K
99232 8,002 3,643 $300K
99395 3,824 3,798 $299K
99203 4,872 4,828 $283K
76811 5,093 5,069 $266K
76816 10,702 9,716 $256K
99469 690 170 $243K
99460 4,431 4,362 $241K
99393 3,177 3,165 $236K
99396 2,428 2,404 $214K
76820 14,671 6,641 $210K
99238 4,723 4,603 $203K
99222 2,776 2,587 $195K
99215 Prolong outpt/office vis 2,170 2,084 $188K
99394 1,920 1,913 $152K
99479 1,417 170 $144K
99385 1,350 1,340 $128K
59025 6,008 3,116 $127K
59430 599 599 $105K
59425 269 268 $101K
90471 13,178 12,963 $101K
90472 7,083 6,955 $98K
99212 4,251 4,030 $94K
99468 97 94 $76K
99231 3,233 1,517 $72K
76801 2,313 2,259 $71K
99291 626 260 $69K
99386 582 576 $66K
76817 2,754 2,121 $64K
76819 2,863 2,266 $60K
99283 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 Medroxyprogesterone acetate 694 670 $46K
90651 1,367 1,358 $44K
99239 687 682 $41K
99480 367 94 $40K
93303 385 361 $38K
99205 Prolong outpt/office vis 310 308 $35K
76815 1,809 1,629 $35K
90715 1,710 1,688 $33K
76805 1,108 1,101 $31K
90686 4,344 4,322 $29K
87880 2,088 2,023 $27K
96372 3,069 2,728 $24K
93000 2,659 2,607 $23K
99478 167 43 $21K
36415 7,838 7,037 $18K
99284 266 254 $18K
90732 159 159 $17K
96110 1,700 1,565 $17K
99217 402 394 $16K
99202 451 448 $16K
99462 669 548 $16K
99463 224 223 $15K
99253 226 211 $14K
87804 1,238 1,123 $14K
81025 2,198 2,160 $14K
99383 150 150 $14K
81003 6,013 5,836 $11K
93306 102 102 $10K
90460 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 260 253 $6K
0002A 189 186 $6K
96127 1,896 1,824 $6K
90670 3,478 3,456 $5K
Q0091 Obtaining screen pap smear 388 383 $5K
99220 56 54 $5K
94640 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 81 81 $3K
99309 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 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 62 52 $752.28
99442 63 62 $689.73
83655 62 62 $663.24
58300 15 15 $648.83
99308 14 14 $615.56
90716 1,213 1,212 $367.58
99406 59 59 $363.42
G2212 Prolong outpt/office vis 14 14 $360.31
99443 14 14 $273.33
85018 85 85 $166.34
J3420 Vitamin b12 injection 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 Methylprednisolone injection 12 12 $62.44
G0008 Admin influenza virus vac 57 52 $38.50
J1885 Ketorolac tromethamine inj 14 14 $13.42
G8420 Calc bmi norm parameters 718 685 $0.30
G8417 Calc bmi abv up param f/u 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 Scr dep neg, no plan reqd 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 Calc bmi blw low param f/u 14 14 $0.00