Physician
Newaygo County General Hospital Association
Newaygo County General Hospital Association was paid $1.75M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoNEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
NEWAYGO, MI 49337
NEWAYGO, MI 49337
33aNPI1467845537assigned 03/12/2015
33bProvider typeFamily Medicine Physician
28Total paid$1.75M
24GClaims59,236
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#79 of 826
Median peer was paid$98K
This provider vs. median18×
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 SELLA, JOHN controls 14+ 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 | 9,995 | $283K | |
| 2019 | 9,790 | $279K | |
| 2020 | 8,677 | $229K | |
| 2021 | 8,729 | $248K | |
| 2022 | 8,524 | $270K | |
| 2023 | 9,354 | $295K | |
| 2024incomplete | 4,167 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 27,722 | 25,022 | $1.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 17,003 | 15,714 | $82K |
| 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 | 2.5% | 5,551 | 5,261 | $44K |
| 90686 | <1% | 1,214 | 1,207 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 879 | 876 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,957 | 1,928 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 150 | 149 | $2K |
| 90750 | <1% | 32 | 32 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 249 | 249 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 167 | 167 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 191 | 189 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 164 | 163 | $1K |
23 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 125 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 344 | $914.78 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 675 | $847.07 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 34 | $820.35 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 328 | $783.99 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 358 | $765.66 |
| 87428 | <1% | 135 | $624.06 | |
| 0004A | <1% | 15 | $492.05 | |
| 96127 | <1% | 853 | $458.15 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $420.94 |
| 0002A | <1% | 21 | $416.35 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 58 | $263.32 |
| 90656 | <1% | 17 | $223.50 | |
| 81003 | <1% | 492 | $108.21 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $83.18 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 29 | $56.28 |
| 81025 | <1% | 13 | $7.13 | |
| 91300 | 0% | 99 | $0.00 | |
| 90461 | 0% | 130 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90670 | 0% | 40 | $0.00 | |
| 36416 | 0% | 88 | $0.00 | |
| 90698 | 0% | 12 | $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 officialSELLA, JOHN (CONTROLLER)
Parent organizationNEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Newaygo County General Hospital Association | Fremont, MI | $3.34M |
| Newaygo County General Hospital Association | Fremont, MI | $3.15M |
| Memorial Medical Center of West Michigan | Ludington, MI | $2.24M |
| Newaygo County General Hospital Association | Fremont, MI | $1.78M |
| Memorial Medical Center of West Michigan | Grant, MI | $1.42M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.41M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.17M |
| Pennock Hospital | Lake Odessa, MI | $1.04M |
| Pennock Hospital | Hastings, MI | $760K |
| Pennock Hospital | Hastings, MI | $714K |
| Memorial Medical Center of West Michigan | Hart, MI | $627K |
| Memorial Medical Center of West Michigan | Hesperia, MI | $623K |
| Pennock Hospital | Wayland, MI | $532K |
| Pennock Hospital | Middleville, MI | $384K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.