Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Lakes Obgyn Specialist

Lakes Obgyn Specialist was paid $425K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoLAKES OBGYN SPECIALIST
NORTON SHORES, MI 49444
33aNPI1548570062assigned 10/18/2010
33bProvider typeNurse Practitioner
28Total paid$425K
24GClaims12,350
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nurse Practitioner providers in Michigan

Rank by total paid#12 of 56
Median peer was paid$64K
This provider vs. median6.6×

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.

Entity ProliferationAuthorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,170$48K
2019915$34K
20201,126$27K
20211,461$74K
20221,450$53K
20232,552$80K
2024incomplete3,676$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 2,160 2,081 $111K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 2,470 2,403 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 10% 690 686 $43K
59025 Fetal non-stress test 6.6% 1,666 1,013 $28K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6.5% 378 365 $27K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 5.9% 12 12 $25K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5.1% 774 662 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 4.6% 26 26 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.6% 426 374 $15K
76830 Ultrasound, transvaginal 3.3% 552 470 $14K
59426 2.4% 13 13 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.6% 279 234 $7K
15 more codes
59430 1.0% 24 $4K
99283 Emergency room visit (moderate) <1% 62 $3K
99203 Doctor's office visit, new patient (routine) <1% 39 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 67 $1K
58300 <1% 39 $1K
81025 <1% 123 $618.70
99238 Hospital discharge day management, 30 minutes or less <1% 12 $582.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 $125.71
0502F 0% 699 $0.00
3078F 0% 790 $0.00
3074F 0% 847 $0.00
3079F 0% 111 $0.00
0500F 0% 38 $0.00
3075F 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICE)
Parent organizationMERCY HEALTH PARTNERS
Same official

Other billing entities under GUSHO, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.