Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Rapids › NPI 1588840854

Exalta Health

Exalta Health was paid $299K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoEXALTA HEALTH
GRAND RAPIDS, MI 49507
33aNPI1588840854assigned 01/16/2008
33bProvider typeSpecialist
28Total paid$299K
24GClaims5,941
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Michigan

Rank by total paid#63 of 181
Median peer was paid$94K
This provider vs. median3.2×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
2018710$31K
2019700$31K
2020446$21K
2021943$47K
20221,209$57K
20231,159$67K
2024incomplete774$44K
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 59% 2,145 2,064 $176K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 1,296 1,244 $75K
D7140 Extraction, erupted tooth or exposed root 5.3% 233 98 $16K
D0140 Limited oral evaluation - problem focused 3.6% 289 287 $11K
D1110 Prophylaxis - adult 3.2% 226 226 $10K
36415 Collection of venous blood by venipuncture 1.5% 1,376 1,313 $5K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 137 137 $4K
D0330 Panoramic radiographic image <1% 41 41 $2K
96127 <1% 147 130 $502.65
D0274 Bitewings - four radiographic images <1% 27 27 $478.48
D0220 Intraoral - periapical first radiographic image <1% 24 24 $180.05

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 officialPAXTON, WILLIAM (PRESIDENT)