Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoSETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN
CLINTON TOWNSHIP, MI 48038
33aNPI1598177065assigned 06/02/2014
33bProvider typeRheumatology Physician
28Total paid$1.84M
24GClaims61,045
24DCodes billed41
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Rheumatology Physician providers in Michigan

Rank by total paid#2 of 39
Median peer was paid$37K
This provider vs. median50×

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 PERRY, RACHEL controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
201812,103$276K
201914,274$416K
20209,623$289K
202112,873$481K
20229,080$326K
20233,039$46K
2024incomplete53$5K
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 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.

From NPPES

Who's on the registration

Authorized officialPERRY, RACHEL (MANAGER)
Same official

Other billing entities under PERRY, RACHEL

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