Medicaid Provider Spending

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

ASCENSION MEDICAL GROUP PROMED

NPI: 1538299631 · PORTAGE, MI 49024 · Internal Medicine Physician · NPI assigned 03/07/2007

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

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

$1.64M
Total Medicaid Paid
28,079
Total Claims
26,227
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date03/07/2007

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 MEDICAL GROUP PROMED PORTAGE MI $7.97M
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 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 4,438 $239K
2019 4,541 $229K
2020 4,549 $227K
2021 4,927 $303K
2022 4,546 $297K
2023 3,052 $210K
2024 2,026 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,819 16,408 $1.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,605 5,334 $234K
99215 Prolong outpt/office vis 1,820 1,760 $159K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,380 1,363 $123K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 487 484 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 158 157 $10K
99205 Prolong outpt/office vis 71 71 $9K
99406 105 101 $652.27
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $362.96
98966 225 181 $295.38
98967 169 140 $250.52
G9002 Coordinated care fee, maintenance rate 45 38 $161.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $112.00
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) 40 40 $85.65
36415 Collection of venous blood by venipuncture 31 30 $78.30
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14 12 $47.50
96127 67 67 $25.00
81002 14 12 $14.30