Medicaid Provider Spending

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

ASCENSION ST JOHN HOSPITAL

NPI: 1457663197 · CHICAGO, IL 60677 · Family Medicine Physician · NPI assigned 07/10/2010

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

Authorized official STARKEL, SARAH controls 20+ related entities in our dataset. Read more

$2.29M
Total Medicaid Paid
233,172
Total Claims
221,029
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTARKEL, SARAH (CREDENTIALING COORDINATOR)
NPI Enumeration Date07/10/2010

Related Entities

Other providers sharing the same authorized official: STARKEL, SARAH

ProviderCityStateTotal Paid
ASCENSION ST JOHN HOSPITAL DETROIT MI $41.79M
ASCENSION PROVIDENCE HOSPTIAL SOUTHFIELD MI $8.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $4.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $3.45M
ASCENSION ST JOHN HOSPITAL SOUTHFIELD MI $3.01M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.88M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.51M
ASCENSION ST JOHN HOSPITAL DETROIT MI $981K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $879K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $475K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $225K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN SAINT CLAIR SHORES MI $70K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MADISON HEIGHTS MI $67K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $53K
ASCENSION EASTWOOD BEHAVIORAL HEALTH NOVI MI $47K
ASCENSION EASTWOOD BEHAVIORAL HEALTH SAINT CLAIR SHORES MI $45K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $15K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN HOWELL MI $12K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MACOMB MI $9K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $761.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,845 $186K
2019 18,327 $239K
2020 13,994 $218K
2021 35,198 $333K
2022 45,209 $345K
2023 59,700 $521K
2024 38,899 $445K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,135 17,470 $988K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,923 14,071 $515K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,947 2,905 $173K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,746 1,738 $139K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,563 2,522 $131K
99223 Prolong inpt eval add15 m 935 913 $98K
99385 908 906 $55K
99232 Subsequent hospital care, per day, moderate complexity 1,259 543 $54K
99215 Prolong outpt/office vis 259 256 $21K
99386 234 234 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 332 331 $17K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 395 372 $15K
99283 Emergency department visit for the evaluation and management, moderate severity 59 59 $8K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,001 985 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 125 125 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 141 140 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 80 80 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 181 173 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 751 743 $3K
93298 173 170 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 84 75 $3K
99496 25 25 $3K
36224 13 12 $3K
99442 157 149 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 56 56 $2K
98966 1,614 1,474 $2K
36226 14 13 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 19 18 $1K
99222 Initial hospital care, per day, moderate complexity 14 14 $1K
99406 172 164 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 23 23 $993.60
99441 88 80 $618.62
99443 13 13 $241.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 40 $171.08
99000 690 664 $150.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $112.00
90686 17 17 $102.84
G9002 Coordinated care fee, maintenance rate 86 79 $80.88
81025 14 14 $53.95
36415 Collection of venous blood by venipuncture 25 25 $52.24
81002 33 29 $33.24
97802 13 13 $30.00
99499 135 133 $0.34
1000F 812 774 $0.00
3079F 8,385 8,108 $0.00
3044F 986 963 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13,437 12,721 $0.00
1126F 9,955 9,644 $0.00
1125F 5,775 5,515 $0.00
1036F 15,257 14,179 $0.00
3080F 2,038 1,959 $0.00
1035F 1,142 1,056 $0.00
3074F 16,119 15,378 $0.00
3075F 4,136 4,043 $0.00
1034F 4,570 4,211 $0.00
3008F 24,152 22,750 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $0.00
3052F 12 12 $0.00
A9270 Non-covered item or service 24 24 $0.00
99024 26 24 $0.00
81001 14 14 $0.00
4010F 12 12 $0.00
3078F 12,345 11,859 $0.00
3288F 8,331 7,792 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,372 2,314 $0.00
3725F 13,152 12,508 $0.00
1159F 11,941 11,176 $0.00
1160F 13,657 12,778 $0.00
3077F 2,668 2,559 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 10,023 9,491 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 1,085 1,050 $0.00
3051F 25 25 $0.00
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling 177 173 $0.00
1003F 12 12 $0.00
3046F 13 13 $0.00