Memorial Medical Center of West Michigan
Memorial Medical Center of West Michigan was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
LUDINGTON, MI 49431
Next to other Primary Care Clinic/Center 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 | 15,155 | $306K | |
| 2019 | 14,670 | $301K | |
| 2020 | 13,055 | $247K | |
| 2021 | 15,462 | $306K | |
| 2022 | 16,495 | $422K | |
| 2023 | 15,086 | $355K | |
| 2024incomplete | 12,644 | $301K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 32,337 | 28,108 | $1.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 13,384 | 12,214 | $51K |
| 90670 | 2.2% | 2,475 | 2,467 | $49K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 4,250 | 4,240 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 4,624 | 4,528 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 8,018 | 7,983 | $23K |
| 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 | <1% | 4,259 | 4,048 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,797 | 2,793 | $14K |
| 90651 | <1% | 429 | 429 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,451 | 1,450 | $8K |
| 90686 | <1% | 2,798 | 2,792 | $6K | |
| 90734 | <1% | 291 | 291 | $5K |
39 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,838 | $4K |
| 90716 | <1% | 315 | $4K | |
| 90707 | <1% | 329 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,871 | $2K |
| 90671 | <1% | 802 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 791 | $1K |
| 0071A | <1% | 34 | $946.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,045 | $892.97 |
| 90480 | <1% | 46 | $869.88 | |
| 0072A | <1% | 15 | $416.35 | |
| 83655 | <1% | 459 | $404.06 | |
| 87428 | <1% | 123 | $270.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 162 | $231.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 263 | $218.30 |
| 96127 | <1% | 672 | $113.54 | |
| 85018 | <1% | 622 | $103.28 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $29.26 |
| 90473 | <1% | 15 | $6.00 | |
| 90710 | 0% | 303 | $0.00 | |
| 90633 | 0% | 1,508 | $0.00 | |
| 90461 | 0% | 4,840 | $0.00 | |
| 90715 | 0% | 130 | $0.00 | |
| 90648 | 0% | 1,562 | $0.00 | |
| 90700 | 0% | 300 | $0.00 | |
| 90685 | 0% | 270 | $0.00 | |
| 90672 | 0% | 30 | $0.00 | |
| 91300 | 0% | 49 | $0.00 | |
| 81003 | 0% | 13 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90680 | 0% | 2,344 | $0.00 | |
| 36416 | 0% | 561 | $0.00 | |
| 90698 | 0% | 1,360 | $0.00 | |
| 90696 | 0% | 301 | $0.00 | |
| 90723 | 0% | 1,165 | $0.00 | |
| 90744 | 0% | 951 | $0.00 | |
| 96380 | 0% | 14 | $0.00 | |
| 90656 | 0% | 242 | $0.00 | |
| 99381 | 0% | 44 | $0.00 | |
| 90647 | 0% | 41 | $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
| Provider | Location | Paid |
|---|---|---|
| Newaygo County General Hospital Association | Fremont, MI | $3.34M |
| Newaygo County General Hospital Association | Fremont, MI | $3.15M |
| Newaygo County General Hospital Association | Fremont, MI | $1.78M |
| Newaygo County General Hospital Association | Newaygo, MI | $1.75M |
| Memorial Medical Center of West Michigan | Grant, MI | $1.42M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.41M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.17M |
| Pennock Hospital | Lake Odessa, MI | $1.04M |
| Pennock Hospital | Hastings, MI | $760K |
| Pennock Hospital | Hastings, MI | $714K |
| Memorial Medical Center of West Michigan | Hart, MI | $627K |
| Memorial Medical Center of West Michigan | Hesperia, MI | $623K |
| Pennock Hospital | Wayland, MI | $532K |
| Pennock Hospital | Middleville, MI | $384K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.