Medicaid Provider Spending

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

ASCENSION BORGESS HOSPITAL

NPI: 1417130154 · PORTAGE, MI 49024 · Urgent Care Clinic/Center · NPI assigned 12/17/2007

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

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$1.22M
Total Medicaid Paid
36,209
Total Claims
35,206
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date12/17/2007

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,345 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,334 8,983 $435K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,553 4,543 $286K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,097 3,983 $258K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,629 1,624 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 505 502 $48K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 420 418 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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 202 201 $12K
80053 Comprehensive metabolic panel 1,302 1,244 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,577 1,504 $8K
84443 Thyroid stimulating hormone (TSH) 776 768 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 114 113 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 819 802 $7K
99000 2,081 2,049 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 342 339 $6K
80061 Lipid panel 578 572 $5K
87430 394 391 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 58 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 141 140 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 118 116 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 118 116 $3K
81000 950 919 $2K
83036 Hemoglobin; glycosylated (A1C) 334 333 $2K
81025 382 373 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 101 50 $1K
99051 1,027 1,008 $926.17
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30 29 $671.63
87086 Culture, bacterial; quantitative colony count, urine 145 143 $623.85
J1885 Injection, ketorolac tromethamine, per 15 mg 430 420 $463.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 96 95 $395.11
36415 Collection of venous blood by venipuncture 2,100 1,943 $167.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 119 119 $127.26
82728 17 17 $119.76
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $118.18
84439 26 26 $92.40
85651 39 39 $75.87
83540 19 19 $66.22
83550 12 12 $57.60
87210 12 12 $47.99
86140 15 13 $41.69
S9088 Services provided in an urgent care center (list in addition to code for service) 522 506 $0.00