NP / PA
Mercy Women's Health Services
Mercy Women's Health Services was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 59426, — 23% of everything it billed.
33Billing provider infoMERCY WOMEN'S HEALTH SERVICES
MUSKEGON, MI 49442
MUSKEGON, MI 49442
33aNPI1467476143assigned 07/27/2006
33bProvider typeNurse Practitioner
28Total paid$1.08M
24GClaims25,118
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Michigan
Rank by total paid#4 of 56
Median peer was paid$64K
This provider vs. median17×
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 GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,752 | $237K | |
| 2019 | 2,879 | $135K | |
| 2020 | 2,658 | $110K | |
| 2021 | 3,376 | $179K | |
| 2022 | 3,252 | $136K | |
| 2023 | 3,785 | $165K | |
| 2024incomplete | 4,416 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 23% | 349 | 345 | $251K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,838 | 5,529 | $208K |
| 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 | 17% | 3,507 | 3,385 | $183K |
| 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 | 9.5% | 1,329 | 1,321 | $102K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.9% | 3,173 | 2,595 | $86K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.9% | 1,984 | 1,760 | $63K |
| 59430 | 4.2% | 290 | 285 | $45K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.0% | 1,829 | 1,403 | $43K |
| 76830 | Ultrasound, transvaginal | 3.6% | 1,559 | 1,258 | $39K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 308 | 308 | $19K |
| 76801 | <1% | 263 | 261 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 132 | 130 | $6K |
22 more codes
| 59025 | Fetal non-stress test | <1% | 338 | $6K |
| 58300 | <1% | 127 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 259 | $3K |
| 81025 | <1% | 405 | $2K | |
| 90715 | <1% | 73 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 26 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 196 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 53 | $993.94 |
| 90686 | <1% | 39 | $705.82 | |
| 99283 | Emergency room visit (moderate) | <1% | 15 | $644.46 |
| 58100 | <1% | 13 | $373.52 | |
| 99443 | <1% | 16 | $329.24 | |
| 76820 | <1% | 19 | $236.90 | |
| 99442 | <1% | 16 | $236.14 | |
| 99406 | <1% | 30 | $224.52 | |
| 3075F | 0% | 56 | $0.00 | |
| 3079F | 0% | 270 | $0.00 | |
| 3074F | 0% | 941 | $0.00 | |
| 0500F | 0% | 68 | $0.00 | |
| 3078F | 0% | 799 | $0.00 | |
| 0502F | 0% | 770 | $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 officialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent organizationMERCY HEALTH PARTNERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.