Clinic
Advantage Health/Saint Mary's Medical Group
Advantage Health/Saint Mary's Medical Group was paid $16.99M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1376862151assigned 05/19/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$16.99M
24GClaims383,023
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Michigan
Rank by total paid#3 of 44
Median peer was paid$362K
This provider vs. median47×
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 | |
|---|---|---|---|
| 2018 | 45,890 | $2.31M | |
| 2019 | 43,525 | $2.14M | |
| 2020 | 32,699 | $1.73M | |
| 2021 | 46,724 | $2.43M | |
| 2022 | 55,688 | $2.58M | |
| 2023 | 71,936 | $3.10M | |
| 2024incomplete | 86,561 | $2.70M |
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 | 30% | 84,952 | 80,885 | $5.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 85,301 | 80,390 | $3.55M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.7% | 1,945 | 1,933 | $1.48M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 14,216 | 14,200 | $839K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 15,771 | 14,686 | $810K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.3% | 11,243 | 11,222 | $739K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.3% | 10,017 | 9,984 | $734K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 10,365 | 10,359 | $610K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 7,197 | 7,189 | $476K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 5,102 | 4,972 | $450K |
| 59426 | 2.6% | 659 | 655 | $448K | |
| 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% | 3,911 | 3,899 | $340K |
94 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 4,652 | $252K |
| 99460 | <1% | 2,912 | $159K | |
| 99385 | <1% | 1,739 | $130K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 65 | $129K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,948 | $125K |
| 59430 | <1% | 795 | $119K | |
| 59514 | <1% | 102 | $88K | |
| 99381 | <1% | 1,047 | $63K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,135 | $48K |
| 99383 | <1% | 633 | $41K | |
| 17110 | <1% | 828 | $35K | |
| 54150 | <1% | 598 | $34K | |
| 59425 | <1% | 65 | $22K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 559 | $20K |
| 99386 | <1% | 188 | $17K | |
| 99384 | <1% | 160 | $13K | |
| 99382 | <1% | 186 | $12K | |
| 99462 | <1% | 493 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 324 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 184 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,332 | $9K |
| 99188 | <1% | 766 | $5K | |
| 59025 | Fetal non-stress test | <1% | 274 | $5K |
| 99495 | <1% | 65 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,029 | $4K |
| D0190 | <1% | 626 | $3K | |
| 99406 | <1% | 575 | $3K | |
| 99493 | <1% | 74 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | $3K |
| 90686 | <1% | 485 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 39 | $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% | 517 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 99349 | <1% | 28 | $2K | |
| 58300 | <1% | 55 | $2K | |
| 76801 | <1% | 48 | $2K | |
| 11981 | <1% | 39 | $2K | |
| 99484 | <1% | 86 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 136 | $1K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 31 | $1K |
| 98966 | <1% | 9,031 | $1K | |
| 11982 | <1% | 24 | $1K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $674.35 |
| 58301 | <1% | 17 | $667.55 | |
| 99336 | <1% | 15 | $648.54 | |
| 98967 | <1% | 3,410 | $645.00 | |
| 99397 | <1% | 14 | $634.43 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,799 | $607.63 |
| 58100 | <1% | 12 | $476.02 | |
| 99494 | <1% | 12 | $426.79 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 41 | $382.38 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $288.74 |
| 99442 | <1% | 38 | $283.02 | |
| 81025 | <1% | 55 | $264.73 | |
| 90688 | <1% | 27 | $199.80 | |
| 99443 | <1% | 16 | $199.02 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $181.39 |
| 98968 | <1% | 776 | $150.70 | |
| 81002 | <1% | 65 | $110.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 51 | $107.77 |
| 81003 | <1% | 107 | $106.29 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 13 | $104.60 |
| 90656 | <1% | 17 | $91.03 | |
| 99459 | <1% | 16 | $89.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $56.68 |
| 96161 | <1% | 134 | $17.08 | |
| G9001 | Coordinated care fee, initial rate | <1% | 26 | $0.05 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 342 | $0.04 |
| 3078F | <1% | 20,936 | $0.02 | |
| 3074F | <1% | 24,966 | $0.02 | |
| G9920 | Screening performed and negative | 0% | 2,699 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 412 | $0.00 |
| 3077F | 0% | 2,722 | $0.00 | |
| 0502F | 0% | 1,553 | $0.00 | |
| 3046F | 0% | 309 | $0.00 | |
| 3051F | 0% | 429 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 73 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 832 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 72 | $0.00 |
| 3075F | 0% | 5,972 | $0.00 | |
| 3044F | 0% | 3,739 | $0.00 | |
| 3052F | 0% | 200 | $0.00 | |
| 3008F | 0% | 8,439 | $0.00 | |
| 3079F | 0% | 10,347 | $0.00 | |
| 3080F | 0% | 2,377 | $0.00 | |
| 0500F | 0% | 138 | $0.00 | |
| S0250 | Comprehensive geriatric assessment and treatment planning performed by assessment team | 0% | 868 | $0.00 |
| 1111F | 0% | 16 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,110 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 12 | $0.00 |
| 0503F | 0% | 15 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 13 | $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 officialGREEN, DANIEL (VP FINANCES GR)
| Provider | Location | Paid |
|---|---|---|
| Advantage Health Saint Mary's Medical Group | Grand Rapids, MI | $21.94M |
| Mercy Health Partners | Whitehall, MI | $3.51M |
| Mercy Health Partners | Ludington, MI | $2.19M |
| Mercy Health Partners | Hart, MI | $2.10M |
| Mercy Health Partners | Shelby, MI | $1.94M |
| Advantage Health Saint Mary's Medical Group | Byron Center, MI | $105K |
| Mercy Health Partners | Ludington, MI | $12K |
| Mercy Health Partners | Muskegon, MI | $7K |
| Mercy Health Partners | Shelby, MI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.