Medicaid Provider Spending

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

LAKELAND COMMUNITY HOSPITAL WATERVLIET

NPI: 1538592753 · NILES, MI 49120 · Rural Health Clinic/Center · NPI assigned 08/12/2013

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

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$9.05M
Total Medicaid Paid
420,454
Total Claims
390,437
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CFO)
Parent OrganizationCOREWELL HEALTH
NPI Enumeration Date08/12/2013

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $162.64M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $72.21M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,433 $1.33M
2019 61,769 $1.31M
2020 50,628 $1.03M
2021 57,935 $1.21M
2022 61,123 $1.30M
2023 67,181 $1.52M
2024 58,385 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 149,378 129,020 $8.79M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,846 62,340 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33,641 32,092 $34K
90651 2,516 2,514 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,542 10,906 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,018 8,995 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,312 1,295 $8K
90472 Immunization administration, each additional vaccine (list separately) 12,952 12,916 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,642 6,638 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg 352 352 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,052 1,041 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,103 13,042 $5K
90686 5,135 5,126 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,139 1,136 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,613 2,592 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1,287 1,285 $4K
99215 Prolong outpt/office vis 2,792 2,735 $3K
90715 2,153 2,145 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,125 4,118 $3K
99381 366 364 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,143 3,093 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,033 2,015 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,709 1,680 $2K
90474 3,430 3,423 $1K
90671 1,421 1,419 $1K
90716 3,524 3,518 $681.30
99385 53 53 $596.22
36415 Collection of venous blood by venipuncture 5,325 5,243 $590.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,670 4,604 $533.91
99383 79 79 $505.00
90750 26 25 $445.20
96110 Developmental screening, with scoring and documentation, per standardized instrument 592 586 $425.60
90620 416 416 $349.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 752 711 $280.18
71046 Radiologic examination, chest; 2 views 290 287 $269.27
90656 351 351 $261.50
81025 1,551 1,533 $218.64
99384 13 13 $198.74
G0009 Administration of pneumococcal vaccine 4,283 4,274 $196.00
96127 3,599 3,582 $184.78
G0008 Administration of influenza virus vaccine 3,873 3,868 $181.28
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 459 459 $158.64
90707 3,519 3,514 $154.30
J1885 Injection, ketorolac tromethamine, per 15 mg 822 775 $147.28
17110 82 69 $133.52
96380 62 62 $131.16
99386 12 12 $117.10
85018 2,539 2,531 $112.00
72110 12 12 $110.52
81003 3,791 3,692 $110.15
90714 13 13 $89.33
83036 Hemoglobin; glycosylated (A1C) 700 698 $88.44
74018 18 16 $73.70
90473 1,092 1,090 $54.00
99406 654 641 $44.91
81002 1,176 1,159 $38.65
90688 283 280 $17.84
92551 18 18 $13.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 77 77 $12.50
90700 1,633 1,630 $0.00
90633 3,859 3,851 $0.00
90670 5,879 5,869 $0.00
69210 13 13 $0.00
90734 2,172 2,170 $0.00
90461 845 844 $0.00
90685 334 333 $0.00
69209 25 25 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 130 65 $0.00
90380 12 12 $0.00
87210 212 209 $0.00
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) 14 13 $0.00
31575 85 85 $0.00
99173 37 37 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $0.00
73630 12 12 $0.00
90723 5,766 5,758 $0.00
90381 49 49 $0.00
90680 5,171 5,166 $0.00
90696 1,562 1,560 $0.00
31231 40 39 $0.00
90647 5,457 5,448 $0.00
36416 352 345 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 76 75 $0.00
94760 245 241 $0.00
90674 20 20 $0.00
99024 16 13 $0.00