Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Greenville › NPI 1457304495
Hospital

Spectrum Health United

Spectrum Health United was paid $20.99M by Medicaid between Jan 2018 and Dec 2024, across 272 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.

33Billing provider infoSPECTRUM HEALTH UNITED
GREENVILLE, MI 48838
33aNPI1457304495assigned 05/19/2006
28Total paid$20.99M
24GClaims728,166
24DCodes billed272
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#45 of 86
Median peer was paid$21.55M
This provider vs. median1.0×

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 COX, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201877,652$2.13M
201971,127$1.88M
202082,985$2.37M
2021128,594$3.77M
2022124,971$3.66M
2023128,345$3.64M
2024incomplete114,492$3.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 20,020 18,875 $3.92M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 17% 12,213 11,449 $3.64M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 18,906 18,137 $2.37M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.5% 14,051 12,780 $1.37M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 4,953 4,816 $698K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.3% 28,668 8,142 $688K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 2.3% 7,921 7,605 $480K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.3% 8,172 7,114 $475K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 5,405 5,286 $386K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.6% 1,959 1,309 $336K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.4% 3,009 2,946 $290K
96361 Intravenous infusion, hydration; each additional hour 1.4% 9,970 8,786 $286K
260 more codes
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 2,774 $274K
71046 Radiologic examination, chest; 2 views 1.3% 7,130 $267K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 2,789 $248K
96375 Therapeutic injection; each additional sequential IV push 1.1% 10,768 $222K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 10,472 $194K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,135 $186K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 711 $173K
G0378 Hospital observation service, per hour <1% 1,317 $170K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,722 $161K
93975 <1% 1,333 $160K
76830 Ultrasound, transvaginal <1% 2,492 $144K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 4,843 $143K
86900 <1% 3,161 $127K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 2,058 $120K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,214 $117K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,593 $113K
70450 Computed tomography, head or brain; without contrast material <1% 2,625 $109K
97162 <1% 2,294 $107K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 8,415 $100K
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% 5,564 $99K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,490 $98K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,455 $98K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 897 $97K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,024 $97K
82947 <1% 4,138 $96K
36415 Collection of venous blood by venipuncture <1% 39,623 $94K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,975 $90K
71045 Radiologic examination, chest; single view <1% 2,151 $87K
80061 Lipid panel <1% 8,424 $80K
80050 General health panel <1% 2,806 $78K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,351 $75K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 9,627 $70K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 308 $69K
80053 Comprehensive metabolic panel <1% 34,063 $68K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 627 $63K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,464 $58K
84443 Thyroid stimulating hormone (TSH) <1% 8,610 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,376 $56K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 903 $54K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,994 $50K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 229 $45K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 33,284 $42K
97535 Self-care/home management training, each 15 minutes <1% 2,538 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 82 $37K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 875 $35K
72100 <1% 980 $31K
76642 <1% 753 $30K
71250 <1% 526 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,378 $29K
72125 Computed tomography, cervical spine; without contrast material <1% 380 $27K
93971 <1% 502 $27K
96367 <1% 533 $26K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 1,593 $26K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 2,294 $25K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,319 $24K
83036 Hemoglobin; glycosylated (A1C) <1% 6,010 $24K
C9399 Unclassified drugs or biologicals <1% 411 $23K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 74 $23K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,494 $22K
70498 <1% 151 $21K
87653 <1% 1,179 $21K
86780 <1% 2,760 $20K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 43 $19K
73562 <1% 1,305 $18K
76801 <1% 314 $18K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,751 $17K
82728 <1% 2,780 $17K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,400 $17K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,241 $17K
73630 <1% 2,229 $17K
85027 <1% 8,431 $16K
73030 <1% 1,365 $16K
96415 <1% 384 $14K
80048 Basic metabolic panel (calcium, ionized) <1% 6,041 $13K
84702 <1% 2,797 $13K
76536 <1% 234 $12K
Q3014 Telehealth originating site facility fee <1% 600 $11K
84439 <1% 2,696 $11K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 13 $11K
73610 <1% 1,616 $11K
73130 <1% 1,425 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,943 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 26 $10K
0002A <1% 289 $10K
G0475 Hiv antigen/antibody, combination assay, screening <1% 751 $10K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 53 $10K
83550 <1% 2,413 $9K
87081 <1% 4,168 $9K
82607 <1% 1,599 $9K
87077 <1% 3,564 $9K
72141 <1% 62 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 979 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 25 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 519 $8K
96376 <1% 2,514 $8K
87186 <1% 2,710 $7K
74018 <1% 293 $7K
83880 <1% 2,130 $7K
43249 <1% 12 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 344 $7K
83540 <1% 2,486 $7K
0001A <1% 291 $7K
87205 <1% 4,890 $7K
83655 <1% 959 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 578 $6K
77066 Tomosynthesis, mammo <1% 109 $6K
85610 <1% 4,401 $6K
73110 <1% 879 $6K
83735 <1% 5,839 $6K
99213 Doctor's office visit, returning patient (routine) <1% 224 $6K
82746 <1% 854 $6K
82570 <1% 2,736 $5K
87340 <1% 2,516 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 499 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 43 $4K
71271 <1% 86 $4K
81001 <1% 19,236 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 151 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,975 $4K
76770 <1% 68 $4K
97163 <1% 86 $4K
82950 <1% 1,396 $4K
82043 <1% 1,291 $4K
80074 <1% 172 $4K
59025 Fetal non-stress test <1% 39 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 358 $3K
86140 <1% 2,329 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 191 $3K
84403 <1% 210 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 25 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 63 $3K
70491 <1% 25 $3K
0012A <1% 84 $3K
87070 <1% 1,001 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 62 $2K
97161 <1% 60 $2K
84484 <1% 7,636 $2K
70496 <1% 238 $2K
80076 <1% 541 $2K
84100 <1% 1,569 $2K
70486 <1% 38 $2K
0011A <1% 87 $2K
86038 <1% 330 $2K
84146 <1% 174 $2K
85652 <1% 2,235 $2K
82565 <1% 3,602 $2K
83970 <1% 83 $2K
81025 <1% 10,598 $2K
77065 Tomosynthesis, mammo <1% 38 $1K
73502 <1% 109 $1K
73221 <1% 12 $1K
93017 <1% 86 $1K
82533 <1% 204 $1K
97116 <1% 96 $1K
87147 <1% 742 $1K
97597 <1% 16 $1K
93246 <1% 80 $1K
73140 <1% 91 $1K
84425 <1% 101 $1K
83690 <1% 6,679 $1K
82784 <1% 179 $1K
84156 <1% 1,082 $958.64
86905 <1% 13 $936.70
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 10,118 $787.01
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 684 $782.24
85007 <1% 983 $720.83
85730 <1% 1,017 $696.74
87808 <1% 1,359 $657.96
72040 <1% 24 $580.56
73080 <1% 164 $568.40
83001 <1% 55 $518.49
86762 <1% 1,444 $443.65
87563 <1% 28 $441.36
83615 <1% 237 $426.75
80069 <1% 98 $382.55
84550 <1% 389 $366.80
73564 <1% 12 $364.62
84145 <1% 71 $347.96
86850 <1% 2,935 $296.25
84112 <1% 31 $286.95
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 27 $259.78
85379 <1% 1,322 $259.46
73590 <1% 75 $254.71
82248 <1% 119 $233.44
82247 <1% 74 $196.15
82670 <1% 12 $171.49
87040 <1% 427 $171.42
12001 <1% 163 $160.61
83516 <1% 19 $157.78
87503 <1% 32 $148.28
86431 <1% 55 $144.16
85240 <1% 12 $125.64
83605 <1% 2,766 $125.05
85014 <1% 544 $119.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,925 $115.59
85055 <1% 17 $97.75
87088 <1% 42 $83.28
82330 <1% 222 $53.63
84132 <1% 283 $43.19
82550 <1% 29 $32.04
88304 <1% 26 $22.75
82077 <1% 531 $19.55
85018 <1% 18 $7.92
87807 <1% 59 $7.79
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 1,257 $4.67
84295 <1% 157 $2.68
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,089 $0.01
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 3,633 $0.00
A9270 Non-covered item or service 0% 1,109 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 237 $0.00
J2704 Injection, propofol, 10 mg 0% 3,153 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 6,438 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 1,088 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,637 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 111 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 11,000 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 1,232 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 1,353 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 265 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,386 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 5,199 $0.00
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 0% 1,536 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 15,954 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 697 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 61 $0.00
A9573 Injection, gadopiclenol, 1 ml 0% 154 $0.00
76377 0% 113 $0.00
J2060 Injection, lorazepam, 2 mg 0% 526 $0.00
91301 0% 178 $0.00
86901 0% 162 $0.00
82803 0% 141 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 12 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 75 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 59 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 29 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 74 $0.00
73090 0% 42 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 1,051 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 1,379 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 8,344 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 3,876 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 8,544 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 13,256 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 2,458 $0.00
90715 0% 320 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 14 $0.00
80143 0% 254 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 3,380 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 615 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 341 $0.00
99152 0% 322 $0.00
80179 0% 178 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 39 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 95 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 72 $0.00
91300 0% 577 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 130 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 15 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 42 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 21 $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 officialCOX, MATTHEW (CFO)
Same official

Other billing entities under COX, MATTHEW

Full network →
ProviderLocationPaid
Spectrum Health HospitalsGrand Rapids, MI$243.22M
Oakwood Healthcare, INC.Dearborn, MI$165.61M
William Beaumont HospitalRoyal Oak, MI$162.64M
William Beaumont HospitalTroy, MI$84.88M
Lakeland Hospitals at Niles and ST Joseph, INCSaint Joseph, MI$78.22M
Botsford General HospitalFarmington Hills, MI$72.21M
William Beaumont HospitalGrosse Pointe, MI$61.49M
Oakwood Healthcare, INC.Wayne, MI$55.44M
Oakwood Healthcare, INC.Taylor, MI$50.28M
Oakwood Healthcare, INC.Trenton, MI$23.26M
Mecosta County Medical CenterBig Rapids, MI$19.50M
Pennock HospitalHastings, MI$15.24M
Reed City Hospital CorporationReed City, MI$15.02M
Zeeland Community HospitalZeeland, MI$10.12M
Lakeland Community Hospital WatervlietWatervliet, MI$9.85M
Lakeland Community Hospital WatervlietNiles, MI$9.05M
Visiting Nurse Services of Western MichiganGrand Rapids, MI$4.54M
Lakeland Hospitals at Niles and ST Joseph, INCBenton Harbor, MI$3.33M
Banner Mesa Surgery Center LLCMesa, AZ$2.80M
Lakeland Community Hospital WatervlietWatervliet, MI$2.55M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.