NP / PA
W.A. Foote Memorial Hospital, INC
W.A. Foote Memorial Hospital, INC was paid $5.34M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoW.A. FOOTE MEMORIAL HOSPITAL, INC
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1366988347assigned 01/13/2017
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$5.34M
24GClaims183,047
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Michigan
Rank by total paid#1 of 25
Median peer was paid$39K
This provider vs. median136×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, MARK controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 7,574 | $329K | |
| 2019 | 17,369 | $529K | |
| 2020 | 20,338 | $562K | |
| 2021 | 31,298 | $851K | |
| 2022 | 37,167 | $1.00M | |
| 2023 | 40,424 | $1.17M | |
| 2024incomplete | 28,877 | $896K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 34,472 | 31,890 | $1.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 40,213 | 37,099 | $1.59M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.4% | 5,097 | 5,020 | $339K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 4,037 | 3,755 | $329K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 1,861 | 1,702 | $190K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 3,387 | 3,373 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,750 | 1,747 | $108K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 2,265 | 1,273 | $98K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 1,322 | 1,320 | $91K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 1,130 | 1,125 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 1,476 | 1,446 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 904 | 903 | $56K |
45 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,788 | $47K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 572 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 583 | $37K |
| 99442 | <1% | 775 | $31K | |
| 99205 | Prolong outpt/office vis | <1% | 291 | $26K |
| 99350 | Prolong home eval add 15m | <1% | 263 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 344 | $23K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 857 | $19K |
| 99443 | <1% | 321 | $18K | |
| 99464 | <1% | 145 | $6K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 68 | $4K |
| 99349 | <1% | 70 | $4K | |
| 99348 | <1% | 76 | $3K | |
| 99460 | <1% | 56 | $3K | |
| 99254 | <1% | 29 | $3K | |
| 95251 | <1% | 130 | $2K | |
| 99336 | <1% | 52 | $2K | |
| 11721 | <1% | 134 | $1K | |
| 99497 | <1% | 30 | $1K | |
| 99220 | <1% | 13 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 79 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,414 | $875.87 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 251 | $855.92 |
| 20610 | <1% | 25 | $753.41 | |
| 99462 | <1% | 27 | $643.47 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $457.30 |
| 99051 | <1% | 758 | $380.00 | |
| 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) | <1% | 15 | $376.02 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $242.41 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 30 | $220.12 |
| 99406 | <1% | 19 | $98.07 | |
| 99441 | <1% | 12 | $88.32 | |
| 3351F | <1% | 28,237 | $0.20 | |
| 3078F | 0% | 13,567 | $0.00 | |
| 3077F | 0% | 1,588 | $0.00 | |
| 1100F | 0% | 17 | $0.00 | |
| 3075F | 0% | 2,690 | $0.00 | |
| 3074F | 0% | 15,261 | $0.00 | |
| 3352F | 0% | 2,951 | $0.00 | |
| 3079F | 0% | 4,865 | $0.00 | |
| 3080F | 0% | 1,058 | $0.00 | |
| 3353F | 0% | 4,257 | $0.00 | |
| 3354F | 0% | 1,132 | $0.00 | |
| 1101F | 0% | 234 | $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 officialSMITH, MARK (SVP, CMO, CEO)
Parent organizationALLEGIANCE HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Huntington Care, LLC | Roseville, CA | $7.66M |
| Henry Ford Health System | Detroit, MI | $5.17M |
| Henry Ford Health System | Detroit, MI | $3.37M |
| W. A. Foote Memorial Hospital, INC | Jackson, MI | $2.83M |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $2.38M |
| Hand in Hand | Bettendorf, IA | $1.53M |
| DRS. Mark & Steven Smith | Greeneville, TN | $1.17M |
| Henry Ford Wyandotte Hospital | Allen Park, MI | $803K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $645K |
| Wa Foote Memorial Hospital, INC | Jackson, MI | $600K |
| Henry Ford Wyandotte Hospital | Brownstown Twp, MI | $322K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $311K |
| Henry Ford Wyandotte Hospital | Trenton, MI | $294K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $278K |
| T H Smith Od and Thomas K Smith Od PC | Mc Kenzie, TN | $263K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $237K |
| Mark A. Smith MD INC. | Akron, OH | $124K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $112K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $104K |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $83K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.