Medicaid Provider Spending

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

LAKES OBGYN SPECIALIST

NPI: 1548570062 · NORTON SHORES, MI 49444 · Nurse Practitioner · NPI assigned 10/18/2010

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$425K
Total Medicaid Paid
12,350
Total Claims
10,917
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICE)
Parent OrganizationMERCY HEALTH PARTNERS
NPI Enumeration Date10/18/2010

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
ST JOSEPH MERCY HOSPITAL-SMHC PONTIAC MI $51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY SPECIALTY SERVICES MUSKEGON MI $5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES MUSKEGON MI $1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,170 $48K
2019 915 $34K
2020 1,126 $27K
2021 1,461 $74K
2022 1,450 $53K
2023 2,552 $80K
2024 3,676 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,160 2,081 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,470 2,403 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 690 686 $43K
59025 Fetal non-stress test 1,666 1,013 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 378 365 $27K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 12 12 $25K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 774 662 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 26 26 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 426 374 $15K
76830 Ultrasound, transvaginal 552 470 $14K
59426 13 13 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 279 234 $7K
59430 24 24 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 62 57 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 39 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67 66 $1K
58300 39 37 $1K
81025 123 117 $618.70
99238 Hospital discharge day management, 30 minutes or less 12 12 $582.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $125.71
0502F 699 439 $0.00
3078F 790 769 $0.00
3074F 847 828 $0.00
3079F 111 111 $0.00
0500F 38 29 $0.00
3075F 13 13 $0.00