Medicaid Provider Spending

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

MERCY WOMEN'S HEALTH SERVICES

NPI: 1467476143 · MUSKEGON, MI 49442 · Nurse Practitioner · NPI assigned 07/27/2006

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

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

$1.08M
Total Medicaid Paid
25,118
Total Claims
22,604
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMERCY HEALTH PARTNERS
NPI Enumeration Date07/27/2006

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal 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
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
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,416 $119K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 349 345 $251K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,838 5,529 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,507 3,385 $183K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,329 1,321 $102K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,173 2,595 $86K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,984 1,760 $63K
59430 290 285 $45K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,829 1,403 $43K
76830 Ultrasound, transvaginal 1,559 1,258 $39K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 308 308 $19K
76801 263 261 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 132 130 $6K
59025 Fetal non-stress test 338 188 $6K
58300 127 126 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 259 208 $3K
81025 405 392 $2K
90715 73 70 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 26 26 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 196 188 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 53 52 $993.94
90686 39 38 $705.82
99283 Emergency department visit for the evaluation and management, moderate severity 15 14 $644.46
58100 13 13 $373.52
99443 16 15 $329.24
76820 19 13 $236.90
99442 16 14 $236.14
99406 30 28 $224.52
3075F 56 53 $0.00
3079F 270 263 $0.00
3074F 941 919 $0.00
0500F 68 56 $0.00
3078F 799 782 $0.00
0502F 770 538 $0.00