Ascension Medical Group Michigan
Ascension Medical Group Michigan was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
WARREN, MI 48092
Next to other Neuromusculoskeletal Medicine & OMM Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 27,597 | $650K | |
| 2019 | 26,880 | $630K | |
| 2020 | 23,721 | $636K | |
| 2021 | 47,404 | $886K | |
| 2022 | 62,747 | $781K | |
| 2023 | 70,050 | $755K | |
| 2024incomplete | 50,521 | $642K |
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 | 44% | 30,312 | 28,121 | $2.19M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 24,998 | 22,988 | $1.25M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 5,382 | 5,368 | $510K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.6% | 3,286 | 3,270 | $279K |
| 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 | 2.0% | 881 | 874 | $100K |
| 99385 | 1.8% | 875 | 875 | $88K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 802 | 801 | $57K |
| 99442 | <1% | 1,205 | 1,151 | $46K | |
| 99223 | Prolong inpt eval add15 m | <1% | 421 | 373 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,851 | 6,255 | $36K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,222 | 12,507 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,138 | 3,101 | $30K |
91 more codes
| 99443 | <1% | 496 | $30K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 768 | $30K |
| 93000 | <1% | 3,708 | $27K | |
| 99386 | <1% | 206 | $24K | |
| 90686 | <1% | 1,296 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 785 | $23K |
| 90674 | <1% | 682 | $18K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 315 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 165 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,029 | $10K |
| 76830 | Ultrasound, transvaginal | <1% | 142 | $10K |
| 90677 | <1% | 113 | $9K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 926 | $9K |
| 99406 | <1% | 1,317 | $9K | |
| 87428 | <1% | 212 | $6K | |
| 90656 | <1% | 302 | $5K | |
| 90661 | <1% | 163 | $4K | |
| 81002 | <1% | 2,031 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 55 | $4K |
| 90732 | <1% | 63 | $4K | |
| 0002A | <1% | 104 | $4K | |
| 0001A | <1% | 111 | $4K | |
| 90715 | <1% | 98 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 4,464 | $3K |
| 80305 | <1% | 435 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 151 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 52 | $3K |
| 81003 | <1% | 1,823 | $3K | |
| 90662 | <1% | 434 | $2K | |
| 20610 | <1% | 55 | $2K | |
| 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% | 743 | $2K |
| 81025 | <1% | 267 | $2K | |
| 99497 | <1% | 826 | $2K | |
| 99441 | <1% | 202 | $2K | |
| 90756 | <1% | 67 | $1K | |
| 94010 | <1% | 72 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 63 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $1K |
| 90670 | <1% | 13 | $980.54 | |
| G0008 | Administration of influenza virus vaccine | <1% | 835 | $887.60 |
| 90658 | <1% | 49 | $749.87 | |
| 90682 | <1% | 15 | $733.73 | |
| 83037 | <1% | 133 | $720.63 | |
| 96127 | <1% | 224 | $573.34 | |
| 82962 | <1% | 390 | $541.46 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 466 | $536.43 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $394.05 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $344.71 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 61 | $214.05 |
| 90688 | <1% | 13 | $201.10 | |
| 99000 | <1% | 1,336 | $140.47 | |
| 82947 | <1% | 61 | $99.19 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $76.61 |
| G0009 | Administration of pneumococcal vaccine | <1% | 89 | $72.33 |
| 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% | 14 | $56.84 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 28 | $18.24 |
| 1160F | <1% | 17,792 | $2.23 | |
| 1159F | <1% | 15,922 | $2.23 | |
| 3075F | <1% | 5,182 | $2.23 | |
| 3079F | <1% | 8,946 | $2.23 | |
| 1034F | <1% | 4,378 | $2.23 | |
| 36416 | <1% | 387 | $1.25 | |
| 99499 | <1% | 169 | $0.21 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,037 | $0.12 |
| 3078F | 0% | 18,893 | $0.00 | |
| 91300 | 0% | 108 | $0.00 | |
| 3051F | 0% | 537 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 523 | $0.00 |
| 3046F | 0% | 115 | $0.00 | |
| 3288F | 0% | 784 | $0.00 | |
| 3077F | 0% | 4,077 | $0.00 | |
| 3725F | 0% | 12,300 | $0.00 | |
| 2028F | 0% | 197 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 647 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | $0.00 |
| 3050F | 0% | 13 | $0.00 | |
| 3045F | 0% | 219 | $0.00 | |
| 0502F | 0% | 585 | $0.00 | |
| 3044F | 0% | 8,384 | $0.00 | |
| 4000F | 0% | 17 | $0.00 | |
| 1125F | 0% | 1,260 | $0.00 | |
| 3080F | 0% | 2,268 | $0.00 | |
| 3008F | 0% | 23,693 | $0.00 | |
| 3074F | 0% | 20,951 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,497 | $0.00 |
| 1036F | 0% | 24,530 | $0.00 | |
| 1126F | 0% | 1,832 | $0.00 | |
| 1035F | 0% | 409 | $0.00 | |
| 3048F | 0% | 166 | $0.00 | |
| 3052F | 0% | 51 | $0.00 | |
| 3049F | 0% | 30 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ascension Michigan-Cmg | Clinton Township, MI | $14.24M |
| Ascension Medical Group Michigan | Harper Woods, MI | $4.10M |
| Ascension Medical Group Michigan | Warren, MI | $3.78M |
| Ascension Medical Group Michigan | Warren, MI | $3.46M |
| Ascension ST. John Hospital | Saint Clair Shores, MI | $2.02M |
| Seton Health Corporation of Southeastern Michigan | Clinton Township, MI | $1.84M |
| Ascension River District Hospital | East China, MI | $1.70M |
| Ascension Medical Group Michigan | Detroit, MI | $829K |
| Ascension Medical Group Michigan | Saint Clair Shores, MI | $763K |
| Ascension Medical Group Michigan | Novi, MI | $505K |
| Ascension Medical Group Michigan | Clinton Township, MI | $269K |
| Seton Health Corporation of Southeastern Michigan | Macomb, MI | $149K |
| Hartford Orthopaedic Plastic & Hand Surgeons, INC. | Glastonbury, CT | $96K |
| Ascension Medical Group Michigan | Warren, MI | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.