Medicaid Provider Spending

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

ASCENSION PROVIDENCE HOSPITAL

NPI: 1538123963 · SOUTHFIELD, MI 48075 · Family Medicine Physician · NPI assigned 04/13/2006

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

Authorized official STARKEL, SARAH controls 20+ related entities in our dataset. Read more

$3.45M
Total Medicaid Paid
309,396
Total Claims
293,338
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTARKEL, SARAH (CREDENTIALING COODINATOR)
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: STARKEL, SARAH

ProviderCityStateTotal Paid
ASCENSION ST JOHN HOSPITAL DETROIT MI $41.79M
ASCENSION PROVIDENCE HOSPTIAL SOUTHFIELD MI $8.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $4.97M
ASCENSION ST JOHN HOSPITAL SOUTHFIELD MI $3.01M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.88M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.51M
ASCENSION ST JOHN HOSPITAL CHICAGO IL $2.29M
ASCENSION ST JOHN HOSPITAL DETROIT MI $981K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $879K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $475K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $225K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN SAINT CLAIR SHORES MI $70K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MADISON HEIGHTS MI $67K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $53K
ASCENSION EASTWOOD BEHAVIORAL HEALTH NOVI MI $47K
ASCENSION EASTWOOD BEHAVIORAL HEALTH SAINT CLAIR SHORES MI $45K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $15K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN HOWELL MI $12K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MACOMB MI $9K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $761.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 47,481 $488K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,013 21,165 $1.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,448 22,830 $933K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,418 5,363 $351K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,767 4,681 $266K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,117 2,099 $107K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,179 1,175 $105K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,775 1,747 $89K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,747 1,713 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,539 1,490 $72K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,467 1,351 $60K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 679 645 $32K
99442 779 737 $16K
99495 190 180 $11K
99441 668 648 $8K
99460 121 121 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 297 288 $7K
99385 113 113 $6K
99232 Subsequent hospital care, per day, moderate complexity 194 74 $6K
99215 Prolong outpt/office vis 62 62 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 625 616 $4K
99238 Hospital discharge day management, 30 minutes or less 107 106 $4K
90686 211 207 $4K
99443 144 137 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 349 337 $3K
G9002 Coordinated care fee, maintenance rate 1,051 985 $2K
99222 Initial hospital care, per day, moderate complexity 24 24 $2K
20610 50 42 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 418 412 $1K
90674 34 34 $959.88
98928 27 27 $898.15
98966 2,585 2,391 $682.31
90472 Immunization administration, each additional vaccine (list separately) 49 49 $676.20
99462 24 15 $585.84
99386 13 13 $558.77
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 36 $482.77
99000 567 561 $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) 182 175 $381.83
98927 13 13 $325.98
90656 21 20 $290.83
98967 208 188 $286.15
94010 83 80 $219.13
92551 52 50 $116.74
96160 45 45 $92.22
81002 92 91 $88.20
99406 13 13 $71.54
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $56.48
81003 13 12 $24.58
81025 33 33 $23.34
99499 87 87 $0.34
1126F 15,522 14,959 $0.00
3074F 19,668 18,687 $0.00
1036F 23,251 21,357 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 18,575 17,851 $0.00
3079F 7,464 7,255 $0.00
3008F 27,935 26,200 $0.00
1035F 930 832 $0.00
3080F 2,277 2,203 $0.00
3075F 4,084 4,014 $0.00
3044F 1,737 1,727 $0.00
4000F 454 446 $0.00
1125F 7,504 7,150 $0.00
1034F 4,864 4,400 $0.00
1111F 29 29 $0.00
3052F 214 214 $0.00
90647 12 12 $0.00
3077F 3,233 3,102 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 4,271 4,154 $0.00
3046F 532 531 $0.00
3078F 17,167 16,380 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 2,060 2,015 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,274 2,257 $0.00
3288F 2,831 2,752 $0.00
1160F 22,608 20,958 $0.00
99173 439 436 $0.00
3725F 22,284 21,097 $0.00
1159F 19,747 18,344 $0.00
3051F 257 257 $0.00
3045F 110 110 $0.00
4004F 213 211 $0.00
2028F 57 57 $0.00
90707 12 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 37 36 $0.00