Clinic
Pennock Hospital
Pennock Hospital was paid $2.57M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoPENNOCK HOSPITAL
IONIA, MI 48846
IONIA, MI 48846
33aNPI1477940773assigned 04/24/2015
33bProvider typeRural Health Clinic/Center
28Total paid$2.57M
24GClaims91,594
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#21 of 193
Median peer was paid$426K
This provider vs. median6.0×
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 DAVIS, ROBERT controls 13+ 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 | 7,645 | $215K | |
| 2019 | 9,775 | $257K | |
| 2020 | 9,135 | $249K | |
| 2021 | 13,718 | $396K | |
| 2022 | 16,242 | $446K | |
| 2023 | 18,485 | $531K | |
| 2024incomplete | 16,594 | $475K |
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 | 84% | 38,807 | 33,768 | $2.16M |
| 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 | 6.0% | 12,521 | 11,653 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 15,775 | 14,418 | $112K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 2,564 | 2,515 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 880 | 875 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 780 | 780 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 638 | 615 | $11K |
| 90670 | <1% | 220 | 219 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 962 | 900 | $8K |
| 90686 | <1% | 1,189 | 1,188 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,561 | 1,556 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,443 | 2,385 | $6K |
33 more codes
| 90671 | <1% | 283 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 281 | $5K |
| 87428 | <1% | 635 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,690 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 327 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,460 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 517 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 174 | $3K |
| 90715 | <1% | 82 | $1K | |
| 96127 | <1% | 1,319 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 251 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 206 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 520 | $1K |
| 90750 | <1% | 15 | $890.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 331 | $856.57 |
| 90656 | <1% | 104 | $853.80 | |
| 81025 | <1% | 466 | $741.52 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 329 | $675.09 |
| 99205 | Prolong outpt/office vis | <1% | 26 | $636.90 |
| 81003 | <1% | 1,386 | $506.23 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | $270.90 |
| 0004A | <1% | 12 | $227.10 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 364 | $206.64 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $101.00 |
| 90461 | 0% | 758 | $0.00 | |
| 90648 | 0% | 337 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 13 | $0.00 |
| 91300 | 0% | 19 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 36416 | 0% | 965 | $0.00 | |
| 90723 | 0% | 196 | $0.00 | |
| 90680 | 0% | 99 | $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 officialDAVIS, ROBERT (DIRECTOR OF OPERATIONS)
Parent organizationPENNOCK HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Carolina Outreach, LLC | Fayetteville, NC | $17.95M |
| University of South Alabama | Mobile, AL | $7.37M |
| Transportation Administration of Cleveland County INC. | Shelby, NC | $3.47M |
| Maryland Oncology Hematology, P.A. | Laurel, MD | $3.09M |
| Alert Ambulance Service, INC | Lakewood, NJ | $1.14M |
| Dentistry for Children and Teens INC. | East Liverpool, OH | $855K |
| Muhlenberg County Schools | Powderly, KY | $694K |
| Davis Medical Clinic LTD | Vernon, AL | $642K |
| Sullivan County Auditor | Sullivan, IN | $415K |
| Dentistry for Children and Teens INC. | Beaver, PA | $52K |
| Vanguard Imaging INC | Coal Grove, OH | $12K |
| The Pathology Center | Bellefontaine, OH | $10K |
| Robert A. Davis Od PA | Pembroke Pines, FL | $51.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.