Medicaid Provider Spending

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

ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP

NPI: 1376862151 · GRAND RAPIDS, MI 49503 · 261QM1300X

$16.99M
Total Medicaid Paid
383,023
Total Claims
365,123
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 86,561 $2.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 84,952 80,885 $5.11M
99213 85,301 80,390 $3.55M
59409 1,945 1,933 $1.48M
99392 14,216 14,200 $839K
99391 15,771 14,686 $810K
99395 11,243 11,222 $739K
99396 10,017 9,984 $734K
99393 10,365 10,359 $610K
99394 7,197 7,189 $476K
99215 Prolong outpt/office vis 5,102 4,972 $450K
59426 659 655 $448K
99204 3,911 3,899 $340K
99203 4,652 4,635 $252K
99460 2,912 2,899 $159K
99385 1,739 1,735 $130K
59400 65 64 $129K
99238 2,948 2,926 $125K
59430 795 793 $119K
59514 102 102 $88K
99381 1,047 1,044 $63K
99212 2,135 2,034 $48K
99383 633 633 $41K
17110 828 776 $35K
54150 598 597 $34K
59425 65 63 $22K
99232 559 254 $20K
99386 188 188 $17K
99384 160 160 $13K
99382 186 185 $12K
99462 493 418 $12K
99202 324 323 $11K
99233 Prolong inpt eval add15 m 184 106 $10K
93010 2,332 2,307 $9K
99188 766 763 $5K
59025 274 134 $5K
99495 65 64 $4K
90471 1,029 1,016 $4K
D0190 626 622 $3K
99406 575 566 $3K
99493 74 72 $3K
99223 Prolong inpt eval add15 m 39 36 $3K
90686 485 483 $2K
90834 39 25 $2K
G2211 Complex e/m visit add on 517 504 $2K
90791 25 25 $2K
99205 Prolong outpt/office vis 15 15 $2K
99349 28 27 $2K
58300 55 55 $2K
76801 48 47 $2K
11981 39 39 $2K
99484 86 86 $1K
87880 136 134 $1K
76816 31 29 $1K
98966 9,031 7,163 $1K
11982 24 24 $1K
76811 12 12 $674.35
58301 17 17 $667.55
99336 15 15 $648.54
98967 3,410 2,826 $645.00
99397 14 14 $634.43
G9002 Mccd,maintenance rate 1,799 1,600 $607.63
58100 12 12 $476.02
99494 12 12 $426.79
90472 41 40 $382.38
96372 59 56 $288.74
99442 38 36 $283.02
81025 55 53 $264.73
90688 27 27 $199.80
99443 16 16 $199.02
99211 27 27 $181.39
98968 776 653 $150.70
81002 65 62 $110.71
36415 51 51 $107.77
81003 107 104 $106.29
G0180 Md certification hha patient 13 13 $104.60
90656 17 17 $91.03
99459 16 16 $89.20
83036 12 12 $56.68
96161 134 133 $17.08
G9001 Mccd, initial rate 26 26 $0.05
G9007 Mccd, sch team conf 342 285 $0.04
3078F 20,936 20,029 $0.02
3074F 24,966 23,748 $0.02
G9920 Scrning perf and negative 2,699 2,624 $0.00
G9919 Scrn nd pos nd prov of rec 412 403 $0.00
3077F 2,722 2,643 $0.00
0502F 1,553 1,053 $0.00
3046F 309 286 $0.00
3051F 429 401 $0.00
G8753 Sys bp > or = 140 73 73 $0.00
G8752 Sys bp less 140 832 812 $0.00
G8417 Calc bmi abv up param f/u 72 72 $0.00
3075F 5,972 5,850 $0.00
3044F 3,739 3,497 $0.00
3052F 200 192 $0.00
3008F 8,439 8,217 $0.00
3079F 10,347 10,061 $0.00
3080F 2,377 2,321 $0.00
0500F 138 137 $0.00
S0250 Comp geriatr assmt team 868 866 $0.00
1111F 16 16 $0.00
G8754 Dias bp less 90 1,110 1,073 $0.00
G9008 Mccd,phys coor-care ovrsght 12 12 $0.00
0503F 15 15 $0.00
G8418 Calc bmi blw low param f/u 30 30 $0.00
G8755 Dias bp > or = 90 13 12 $0.00