Medicaid Provider Spending

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

ASCENSION MEDICAL GROUP PROMED

NPI: 1497709869 · PORTAGE, MI 49024 · Internal Medicine Physician · NPI assigned 05/20/2006

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

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$7.97M
Total Medicaid Paid
151,834
Total Claims
139,937
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal Paid
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $43.08M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $10.60M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $6.88M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $6.03M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $4.84M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $3.71M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $3.71M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $2.70M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $2.55M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $2.07M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $1.64M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $1.58M
ASCENSION BORGESS HOSPITAL PORTAGE MI $1.22M
ASCENSION BORGESS ALLEGAN HOSPITAL GOBLES MI $298K
ASCENSION BORGESS ALLEGAN HOSPITAL OTSEGO MI $294K
ASCENSION BORGESS ALLEGAN HOSPITAL FENNVILLE MI $246K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $91K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $55K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $43K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,577 $647K
2019 16,619 $772K
2020 23,302 $1.02M
2021 25,603 $1.36M
2022 28,734 $1.58M
2023 26,686 $1.63M
2024 16,313 $963K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,323 44,898 $3.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,347 47,664 $2.46M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,693 3,673 $331K
99215 Prolong outpt/office vis 3,792 3,713 $314K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6,305 4,641 $298K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,014 2,997 $231K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,343 3,316 $202K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,723 2,708 $183K
99308 Subsequent nursing facility care, per day, straightforward 3,862 3,388 $127K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,750 1,712 $117K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 989 977 $108K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,430 1,372 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,148 1,130 $76K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,032 1,017 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,148 2,078 $61K
99205 Prolong outpt/office vis 570 569 $60K
99310 Prolong nursin fac eval 15m 277 246 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,649 1,634 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,286 797 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,744 1,718 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 364 357 $15K
99385 179 179 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,225 1,155 $10K
97803 499 440 $8K
99000 682 680 $5K
97597 275 158 $5K
90472 Immunization administration, each additional vaccine (list separately) 343 337 $5K
99306 Prolong nursin fac eval 15m 62 60 $3K
98968 504 386 $3K
90686 301 297 $3K
81002 1,047 1,020 $2K
90674 101 101 $2K
99493 25 25 $2K
98967 344 300 $2K
0002A 46 46 $2K
99307 65 64 $2K
99442 141 135 $2K
0001A 40 40 $2K
98966 820 699 $1K
97804 179 152 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 311 299 $1K
99381 26 25 $1K
90715 57 56 $1K
83036 Hemoglobin; glycosylated (A1C) 147 146 $1K
99051 673 653 $892.16
99318 12 12 $822.28
99441 109 107 $779.91
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) 638 623 $716.26
0072A 18 18 $643.45
96127 307 298 $597.57
90688 46 46 $552.14
99443 36 34 $534.00
G9002 Coordinated care fee, maintenance rate 89 83 $525.88
99316 14 14 $502.54
0124A 13 13 $497.22
81025 94 90 $477.36
93000 54 53 $456.04
0071A 12 12 $454.20
87400 25 15 $280.80
94690 29 29 $265.39
96110 Developmental screening, with scoring and documentation, per standardized instrument 47 42 $260.66
90656 17 17 $248.72
J1885 Injection, ketorolac tromethamine, per 15 mg 97 92 $179.75
J1040 Injection, methylprednisolone acetate, 80 mg 14 14 $132.57
99406 17 17 $84.55
36415 Collection of venous blood by venipuncture 29 27 $61.20
91300 141 136 $0.00
91312 12 12 $0.00
90670 15 15 $0.00
90734 12 12 $0.00
91307 30 22 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 12 12 $0.00
91301 14 14 $0.00