Medicaid Provider Spending

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

W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI: 1366988347 · JACKSON, MI 49201 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 01/13/2017

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

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$5.34M
Total Medicaid Paid
183,047
Total Claims
170,590
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, MARK (SVP, CMO, CEO)
Parent OrganizationALLEGIANCE HEALTH SERVICES
NPI Enumeration Date01/13/2017

Related Entities

Other providers sharing the same authorized official: SMITH, MARK

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 28,877 $896K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,472 31,890 $1.93M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,213 37,099 $1.59M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,097 5,020 $339K
99215 Prolong outpt/office vis 4,037 3,755 $329K
99223 Prolong inpt eval add15 m 1,861 1,702 $190K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,387 3,373 $146K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,750 1,747 $108K
99232 Subsequent hospital care, per day, moderate complexity 2,265 1,273 $98K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,322 1,320 $91K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,130 1,125 $86K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,476 1,446 $78K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 904 903 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,788 1,762 $47K
99222 Initial hospital care, per day, moderate complexity 572 551 $39K
99233 Prolong inpt eval add15 m 583 317 $37K
99442 775 761 $31K
99205 Prolong outpt/office vis 291 291 $26K
99350 Prolong home eval add 15m 263 242 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 344 344 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity 857 532 $19K
99443 321 315 $18K
99464 145 145 $6K
99239 Hospital discharge day management, more than 30 minutes 68 68 $4K
99349 70 64 $4K
99348 76 74 $3K
99460 56 56 $3K
99254 29 29 $3K
95251 130 129 $2K
99336 52 50 $2K
11721 134 134 $1K
99497 30 26 $1K
99220 13 13 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 79 79 $1K
99238 Hospital discharge day management, 30 minutes or less 25 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) 1,414 1,374 $875.87
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 251 250 $855.92
20610 25 14 $753.41
99462 27 25 $643.47
99308 Subsequent nursing facility care, per day, straightforward 12 12 $457.30
99051 758 738 $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) 15 14 $376.02
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 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 30 30 $220.12
99406 19 16 $98.07
99441 12 12 $88.32
3351F 28,237 25,706 $0.20
3078F 13,567 12,934 $0.00
3077F 1,588 1,533 $0.00
1100F 17 16 $0.00
3075F 2,690 2,637 $0.00
3074F 15,261 14,511 $0.00
3352F 2,951 2,897 $0.00
3079F 4,865 4,736 $0.00
3080F 1,058 1,028 $0.00
3353F 4,257 4,126 $0.00
3354F 1,132 1,092 $0.00
1101F 234 217 $0.00