Ascension Providence Hospital
Ascension Providence Hospital was paid $3.45M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
SOUTHFIELD, MI 48075
Next to other Family Medicine Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,078 | $347K | |
| 2019 | 16,236 | $395K | |
| 2020 | 16,853 | $411K | |
| 2021 | 64,217 | $617K | |
| 2022 | 79,431 | $595K | |
| 2023 | 68,100 | $597K | |
| 2024incomplete | 47,481 | $488K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 22,013 | 21,165 | $1.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 24,448 | 22,830 | $933K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 10% | 5,418 | 5,363 | $351K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.7% | 4,767 | 4,681 | $266K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 2,117 | 2,099 | $107K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 1,179 | 1,175 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,775 | 1,747 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 1,747 | 1,713 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 1,539 | 1,490 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 1,467 | 1,351 | $60K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 679 | 645 | $32K |
| 99442 | <1% | 779 | 737 | $16K |
70 more codes
| 99495 | <1% | 190 | $11K | |
| 99441 | <1% | 668 | $8K | |
| 99460 | <1% | 121 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 297 | $7K |
| 99385 | <1% | 113 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 194 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 625 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 107 | $4K |
| 90686 | <1% | 211 | $4K | |
| 99443 | <1% | 144 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 349 | $3K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,051 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 24 | $2K |
| 20610 | <1% | 50 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 418 | $1K |
| 90674 | <1% | 34 | $959.88 | |
| 98928 | <1% | 27 | $898.15 | |
| 98966 | <1% | 2,585 | $682.31 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 49 | $676.20 |
| 99462 | <1% | 24 | $585.84 | |
| 99386 | <1% | 13 | $558.77 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $482.77 |
| 99000 | <1% | 567 | $400.00 | |
| 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) | <1% | 182 | $381.83 |
| 98927 | <1% | 13 | $325.98 | |
| 90656 | <1% | 21 | $290.83 | |
| 98967 | <1% | 208 | $286.15 | |
| 94010 | <1% | 83 | $219.13 | |
| 92551 | <1% | 52 | $116.74 | |
| 96160 | <1% | 45 | $92.22 | |
| 81002 | <1% | 92 | $88.20 | |
| 99406 | <1% | 13 | $71.54 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $56.48 |
| 81003 | <1% | 13 | $24.58 | |
| 81025 | <1% | 33 | $23.34 | |
| 99499 | <1% | 87 | $0.34 | |
| 1126F | 0% | 15,522 | $0.00 | |
| 3074F | 0% | 19,668 | $0.00 | |
| 1036F | 0% | 23,251 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 18,575 | $0.00 |
| 3079F | 0% | 7,464 | $0.00 | |
| 3008F | 0% | 27,935 | $0.00 | |
| 1035F | 0% | 930 | $0.00 | |
| 3080F | 0% | 2,277 | $0.00 | |
| 3075F | 0% | 4,084 | $0.00 | |
| 3044F | 0% | 1,737 | $0.00 | |
| 4000F | 0% | 454 | $0.00 | |
| 1125F | 0% | 7,504 | $0.00 | |
| 1034F | 0% | 4,864 | $0.00 | |
| 1111F | 0% | 29 | $0.00 | |
| 3052F | 0% | 214 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 3077F | 0% | 3,233 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 4,271 | $0.00 |
| 3046F | 0% | 532 | $0.00 | |
| 3078F | 0% | 17,167 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 2,060 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,274 | $0.00 |
| 3288F | 0% | 2,831 | $0.00 | |
| 1160F | 0% | 22,608 | $0.00 | |
| 99173 | 0% | 439 | $0.00 | |
| 3725F | 0% | 22,284 | $0.00 | |
| 1159F | 0% | 19,747 | $0.00 | |
| 3051F | 0% | 257 | $0.00 | |
| 3045F | 0% | 110 | $0.00 | |
| 4004F | 0% | 213 | $0.00 | |
| 2028F | 0% | 57 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 37 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.