Seton Health Corporation of Southeastern Michigan
Seton Health Corporation of Southeastern Michigan was paid $1.84M by Medicaid between Jan 2018 and Apr 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
CLINTON TOWNSHIP, MI 48038
Next to other Rheumatology Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,103 | $276K | |
| 2019 | 14,274 | $416K | |
| 2020 | 9,623 | $289K | |
| 2021 | 12,873 | $481K | |
| 2022 | 9,080 | $326K | |
| 2023 | 3,039 | $46K | |
| 2024incomplete | 53 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 8,100 | 7,662 | $495K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 6,612 | 6,587 | $413K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 7,226 | 6,927 | $337K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.2% | 1,275 | 1,231 | $114K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.0% | 2,554 | 2,542 | $110K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 4.2% | 689 | 672 | $77K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 505 | 302 | $37K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 315 | 313 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 2,645 | 2,620 | $34K |
| Q3014 | Telehealth originating site facility fee | 1.7% | 1,845 | 1,508 | $31K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.6% | 991 | 931 | $29K |
| 0001A | 1.2% | 596 | 596 | $22K |
29 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,394 | $22K |
| 0002A | 1.1% | 533 | $20K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,116 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 172 | $16K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 152 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 773 | $7K |
| 81025 | <1% | 754 | $5K | |
| 81002 | <1% | 1,468 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 277 | $2K |
| 81003 | <1% | 458 | $788.80 | |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 12 | $547.75 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $530.78 |
| 96127 | <1% | 228 | $449.58 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 113 | $143.65 |
| 82962 | <1% | 37 | $81.29 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 31 | $0.10 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 10,626 | $0.00 |
| 3008F | 0% | 410 | $0.00 | |
| 3074F | 0% | 454 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 337 | $0.00 |
| 1034F | 0% | 309 | $0.00 | |
| 1036F | 0% | 867 | $0.00 | |
| 3079F | 0% | 66 | $0.00 | |
| 1159F | 0% | 1,599 | $0.00 | |
| 91300 | 0% | 809 | $0.00 | |
| 1160F | 0% | 1,599 | $0.00 | |
| 3078F | 0% | 391 | $0.00 | |
| 3725F | 0% | 661 | $0.00 | |
| 3288F | 0% | 2,031 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ascension Michigan-Cmg | Clinton Township, MI | $14.24M |
| Ascension Medical Group Michigan | Warren, MI | $4.98M |
| Ascension Medical Group Michigan | Harper Woods, MI | $4.10M |
| Ascension Medical Group Michigan | Warren, MI | $3.78M |
| Ascension Medical Group Michigan | Warren, MI | $3.46M |
| Ascension ST. John Hospital | Saint Clair Shores, MI | $2.02M |
| Ascension River District Hospital | East China, MI | $1.70M |
| Ascension Medical Group Michigan | Detroit, MI | $829K |
| Ascension Medical Group Michigan | Saint Clair Shores, MI | $763K |
| Ascension Medical Group Michigan | Novi, MI | $505K |
| Ascension Medical Group Michigan | Clinton Township, MI | $269K |
| Seton Health Corporation of Southeastern Michigan | Macomb, MI | $149K |
| Hartford Orthopaedic Plastic & Hand Surgeons, INC. | Glastonbury, CT | $96K |
| Ascension Medical Group Michigan | Warren, MI | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.