Physician
Providence Hospital
Providence Hospital was paid $10K by Medicaid between Jul 2019 and Oct 2021, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 39% of everything it billed.
33Billing provider infoPROVIDENCE HOSPITAL
SOUTHFIELD, MI 48033
SOUTHFIELD, MI 48033
33aNPI1346407988assigned 05/21/2008
33bProvider typeFamily Medicine Physician
28Total paid$10K
24GClaims175
24DCodes billed8
24AFirst – last monthJul 2019 – Oct 2021
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#625 of 826
Median peer was paid$98K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 52 | $1K | |
| 2021 | 123 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 39% | 29 | 28 | $4K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 26% | 52 | 51 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 15 | 15 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 20 | 20 | $644.98 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 13 | 13 | $373.23 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 13 | $91.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 14 | 14 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | 19 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWHITMAN, SANDRA (DIRECTOR PHYSICIAN BILLING)
| Provider | Location | Paid |
|---|---|---|
| ST John Hospital Corporation | Detroit, MI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.