W.A. FOOTE MEMORIAL HOSPITAL, INC
NPI: 1497292361
· JACKSON, MI 49201
· Interventional Cardiology Physician
· NPI assigned 01/30/2017
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, MARK (SVP, CMO, CEO) |
| Parent Organization | HENRY FORD ALLEGIANCE HEALTH GROUP |
| NPI Enumeration Date | 01/30/2017 |
Related Entities
Other providers sharing the same authorized official: SMITH, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,166 |
$10K |
| 2019 |
1,664 |
$10K |
| 2020 |
2,330 |
$12K |
| 2021 |
2,349 |
$14K |
| 2022 |
2,582 |
$23K |
| 2023 |
1,951 |
$19K |
| 2024 |
2,573 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,798 |
10,383 |
$59K |
| 93458 |
|
218 |
210 |
$30K |
| 99215 |
Prolong outpt/office vis |
301 |
297 |
$23K |
| 99152 |
|
632 |
607 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
34 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$869.32 |
| 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) |
57 |
57 |
$41.61 |
| 3074F |
|
464 |
459 |
$0.00 |
| 3351F |
|
671 |
668 |
$0.00 |
| 3022F |
|
12 |
12 |
$0.00 |
| 3078F |
|
404 |
402 |
$0.00 |