Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cancer & Hematology Centers of Western Mi, P.C.

Cancer & Hematology Centers of Western Mi, P.C. was paid $119K by Medicaid between Nov 2019 and Mar 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoCANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
GRAND RAPIDS, MI 49546
33aNPI1467017434assigned 05/06/2019
33bProvider typeRheumatology Physician
28Total paid$119K
24GClaims4,866
24DCodes billed18
24AFirst – last monthNov 2019 – Mar 2022
Compared with peers

Next to other Rheumatology Physician providers in Michigan

Rank by total paid#14 of 39
Median peer was paid$37K
This provider vs. median3.2×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
201943$1K
20201,394$37K
20213,387$79K
202242$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 53% 1,147 1,129 $63K
99205 Prolong outpt/office vis 20% 260 257 $24K
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 5.6% 79 78 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.1% 76 72 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.5% 733 713 $4K
80053 Comprehensive metabolic panel 3.4% 543 531 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 69 67 $3K
86140 1.7% 530 521 $2K
85651 1.5% 571 562 $2K
36415 Collection of venous blood by venipuncture <1% 525 500 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 85 84 $986.01
86160 <1% 65 58 $427.34
6 more codes
84443 Thyroid stimulating hormone (TSH) <1% 30 $365.93
86803 <1% 25 $269.86
87340 <1% 26 $204.16
81003 <1% 73 $128.17
82550 <1% 12 $63.87
86431 <1% 17 $49.16

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 officialREXFORD, KAREN (CREDENTIALING COORDINATOR)
Parent organizationCANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.