Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAND RAPIDS › SPECTRUM HEALTH HOSPITALS

SPECTRUM HEALTH HOSPITALS

NPI: 1558407189 · GRAND RAPIDS, MI 49503 · Internal Medicine Physician · NPI assigned 01/30/2007

$25.15M
Total Medicaid Paid
505,122
Total Claims
434,173
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLACEY, ELISABETH (MANAGER)
Parent OrganizationSPECTRUM HEALTH HOSPITALS
NPI Enumeration Date01/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,760 $3.72M
2019 78,900 $3.49M
2020 70,482 $3.24M
2021 77,683 $3.75M
2022 79,348 $3.87M
2023 63,774 $3.78M
2024 53,175 $3.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 4,221 4,160 $3.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81,593 74,606 $3.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55,971 51,820 $2.92M
59514 1,749 1,724 $1.46M
99215 Prolong outpt/office vis 15,026 11,461 $1.11M
99233 Prolong inpt eval add15 m 17,038 3,438 $1.00M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,587 16,335 $945K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19,575 17,725 $894K
99244 Office or other outpatient consultation, moderate to high complexity 9,171 9,102 $851K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 327 319 $644K
99460 11,716 11,529 $614K
99238 Hospital discharge day management, 30 minutes or less 14,201 13,835 $577K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,217 8,134 $537K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,172 9,031 $522K
99232 Subsequent hospital care, per day, moderate complexity 10,754 4,347 $429K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,563 9,465 $418K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,743 9,634 $412K
59426 569 549 $368K
59425 862 853 $312K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,594 7,271 $310K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,800 4,714 $301K
59025 Fetal non-stress test 16,916 10,644 $288K
59430 1,560 1,556 $233K
99243 3,924 3,834 $219K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,467 3,411 $217K
99245 1,945 1,931 $201K
99223 Prolong inpt eval add15 m 1,885 1,614 $200K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,545 2,504 $178K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 160 160 $169K
99239 Hospital discharge day management, more than 30 minutes 2,675 2,303 $161K
99462 6,932 5,657 $158K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,587 4,080 $157K
99221 3,032 2,914 $148K
54150 2,627 2,590 $145K
99222 Initial hospital care, per day, moderate complexity 1,746 1,635 $123K
93320 11,920 9,715 $120K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,460 6,698 $120K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 25,347 22,597 $117K
99253 1,855 1,747 $113K
99205 Prolong outpt/office vis 1,174 1,149 $112K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 858 265 $93K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,224 3,181 $86K
99242 2,007 1,974 $78K
96450 1,427 1,069 $59K
99381 1,021 1,008 $52K
99254 575 554 $50K
96040 1,376 1,375 $49K
97597 3,341 2,567 $49K
93304 2,383 1,529 $48K
99188 7,730 7,613 $45K
58300 1,490 1,475 $43K
H1003 Prenatal care, at-risk enhanced service; education 846 630 $40K
99402 503 478 $35K
99252 861 835 $35K
99418 Prolong nursin fac eval 15m 791 241 $34K
11981 863 862 $32K
92587 2,686 2,658 $28K
99417 Prolong home eval add 15m 877 659 $28K
93325 15,183 11,274 $27K
99463 422 421 $26K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 670 541 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,935 6,343 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,278 5,250 $17K
36415 Collection of venous blood by venipuncture 3,686 3,668 $16K
92585 733 706 $13K
93321 3,072 2,097 $12K
93227 931 909 $12K
99495 156 156 $10K
99383 100 100 $6K
93308 418 338 $6K
0081A 173 173 $6K
93244 394 394 $5K
D0190 403 387 $5K
92652 165 165 $5K
93248 278 277 $4K
58301 109 106 $4K
99255 27 27 $3K
81025 587 559 $3K
93294 183 181 $3K
99382 39 38 $2K
99385 26 26 $2K
93356 273 245 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 152 152 $2K
94621 40 40 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 42 39 $1K
41010 18 14 $921.15
99234 13 13 $903.62
99384 12 12 $829.38
80061 Lipid panel 65 65 $820.24
38222 14 14 $766.51
99218 12 12 $630.10
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 37 37 $560.43
58100 14 12 $540.44
92650 74 71 $515.36
96380 93 93 $509.12
99442 13 13 $508.37
11982 13 13 $498.87
0082A 16 16 $479.76
87428 81 81 $450.90
92567 55 55 $393.68
99201 26 26 $362.94
99406 63 63 $350.34
93000 31 30 $344.19
69210 23 14 $297.92
92579 13 13 $285.45
80305 125 124 $233.14
92588 12 12 $229.54
0298T 214 213 $150.66
11055 16 15 $139.86
99177 561 561 $70.65
93018 12 12 $66.73
92551 31 31 $65.40
96127 6,338 4,535 $63.51
96160 484 464 $56.39
99459 58 57 $48.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 66 66 $38.41
96161 6,344 5,794 $12.44
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) 107 106 $5.74
0502F 851 485 $0.00
99173 139 139 $0.00
3046F 14 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 90 81 $0.00
4040F 27 27 $0.00
G8482 Influenza immunization administered or previously received 52 51 $0.00
4004F 26 26 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 105 102 $0.00
G8484 Influenza immunization was not administered, reason not given 43 41 $0.00
3017F 64 61 $0.00
1101F 26 26 $0.00
1036F 78 75 $0.00