ST MARY MERCY HOSPITAL PROFESSIONAL · NPI 1447953971

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$7K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-10

First Month

2024-06

Last Month

Provider Details

Authorized Official	GUSHO, MICHAEL (REGIONAL CFO, TRINITY HEALTH - MICH)
NPI Enumeration Date	03/23/2023

Related Entities

Provider	City	State	Total Paid
ST JOSEPH MERCY HOSPITAL	YPSILANTI	MI	$65.22M
ST JOSEPH MERCY HOSPITAL-SMHC	PONTIAC	MI	$51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION	LIVONIA	MI	$27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL	HOWELL	MI	$18.28M
MERCY PHYSICIAN NETWORK	MUSKEGON	MI	$11.14M
ST JOSEPH MERCY CHELSEA INC	CHELSEA	MI	$6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST	MUSKEGON	MI	$5.34M
MERCY SPECIALTY SERVICES	MUSKEGON	MI	$5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST	MUSKEGON	MI	$1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES	MUSKEGON	MI	$1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES	MUSKEGON	MI	$1.38M
SAINT MARY'S HEALTH SERVICES	GRAND RAPIDS	MI	$1.22M
MERCY WOMEN'S HEALTH SERVICES	MUSKEGON	MI	$1.08M
ST JOSEPH MERCY HOSPITAL	YPSILANTI	MI	$653K
CHELSEA COMMUNITY HOSPITAL	CHELSEA	MI	$597K
ST JOSEPH MERCY HOSPITAL	CANTON	MI	$474K
SJMHS ANESTHESIA SERVICES	YPSILANTI	MI	$459K
LAKES OBGYN SPECIALIST	NORTON SHORES	MI	$425K
CHELSEA COMMUNITY HOSPITAL	CHELSEA	MI	$223K
JOHNSON FAMILY CENTER FOR CANCER CARE	MUSKEGON	MI	$156K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	44	$3K
2024	49	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	81	81	$6K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$1K