Clinic
Ascension Borgess Hospital
Ascension Borgess Hospital was paid $1.22M by Medicaid between Jan 2018 and Jun 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoASCENSION BORGESS HOSPITAL
PORTAGE, MI 49024
PORTAGE, MI 49024
33aNPI1417130154assigned 12/17/2007
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.22M
24GClaims36,209
24DCodes billed41
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#57 of 239
Median peer was paid$346K
This provider vs. median3.5×
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 HOUGHTON, MARINA 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 | 4,071 | $190K | |
| 2019 | 8,238 | $193K | |
| 2020 | 6,815 | $163K | |
| 2021 | 5,786 | $198K | |
| 2022 | 4,432 | $194K | |
| 2023 | 5,522 | $225K | |
| 2024incomplete | 1,345 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 9,334 | 8,983 | $435K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 4,553 | 4,543 | $286K |
| 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 | 21% | 4,097 | 3,983 | $258K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.6% | 1,629 | 1,624 | $69K |
| 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 | 3.9% | 505 | 502 | $48K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 420 | 418 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 663 | 652 | $17K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.0% | 202 | 201 | $12K |
| 80053 | Comprehensive metabolic panel | <1% | 1,302 | 1,244 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,577 | 1,504 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 776 | 768 | $8K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 114 | 113 | $7K |
29 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 819 | $7K |
| 99000 | <1% | 2,081 | $6K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 342 | $6K |
| 80061 | Lipid panel | <1% | 578 | $5K |
| 87430 | <1% | 394 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 58 | $4K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 141 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 118 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 118 | $3K |
| 81000 | <1% | 950 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 334 | $2K |
| 81025 | <1% | 382 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 101 | $1K |
| 99051 | <1% | 1,027 | $926.17 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 30 | $671.63 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 145 | $623.85 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 430 | $463.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 96 | $395.11 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,100 | $167.45 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 119 | $127.26 |
| 82728 | <1% | 17 | $119.76 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $118.18 |
| 84439 | <1% | 26 | $92.40 | |
| 85651 | <1% | 39 | $75.87 | |
| 83540 | <1% | 19 | $66.22 | |
| 83550 | <1% | 12 | $57.60 | |
| 87210 | <1% | 12 | $47.99 | |
| 86140 | <1% | 15 | $41.69 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 522 | $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 officialHOUGHTON, MARINA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ascension Borgess Hospital | Kalamazoo, MI | $43.08M |
| Ascension Medical Group Promed | Kalamazoo, MI | $10.60M |
| Ascension Medical Group Promed | Portage, MI | $7.97M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $6.88M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $6.03M |
| Ascension Borgess Hospital | Plainwell, MI | $4.84M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $3.71M |
| Ascension Borgess Hospital | Plainwell, MI | $3.71M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $2.70M |
| Ascension Medical Group Promed | Kalamazoo, MI | $2.55M |
| Ascension Medical Group Promed | Portage, MI | $2.07M |
| Ascension Medical Group Promed | Portage, MI | $1.64M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $1.58M |
| Ascension Borgess Allegan Hospital | Gobles, MI | $298K |
| Ascension Borgess Allegan Hospital | Otsego, MI | $294K |
| Ascension Borgess Allegan Hospital | Fennville, MI | $246K |
| Ascension Borgess Hospital | Kalamazoo, MI | $91K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $55K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $43K |
| Ascension Borgess Hospital | Kalamazoo, MI | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.