Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI: 1598202459 · JACKSON, MI 49201 · Rheumatology Physician · NPI assigned 01/30/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CEBALT, KIMBERLY controls 20+ related entities in our dataset. Read more

$315K
Total Medicaid Paid
9,590
Total Claims
9,103
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCEBALT, KIMBERLY (DIRECTOR)
Parent OrganizationHENRY FORD JACKSON HEALTH
NPI Enumeration Date01/30/2017

Related Entities

Other providers sharing the same authorized official: CEBALT, KIMBERLY

ProviderCityStateTotal Paid
HENRY FORD EASTWOOD BEHAVIORAL HEALTH CLINTON TOWNSHIP MI $25.19M
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL WARREN MI $5.07M
HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI $4.28M
HENRY FORD HEALTH GENESYS HOSPITAL BURTON MI $3.81M
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL DETROIT MI $2.23M
HENRY FORD HEALTH GENESYS HOSPITAL FLINT MI $906K
HENRY FORD HEALTH ST. JOHN HOSPITAL DETROIT MI $811K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL WARREN MI $722K
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL WARREN MI $582K
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH SOUTHFIELD MI $505K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL MADISON HEIGHTS MI $330K
HENRY FORD HEALTH GENESYS HOSPITAL GRAND BLANC MI $239K
HENRY FORD HEALTH GENESYS HOSPITAL BURTON MI $173K
HENRY FORD HEALTH GENESYS HOSPITAL FLINT MI $159K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH LIVONIA MI $133K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH SOUTHFIELD MI $63K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL WARREN MI $50K
HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI $50K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH DETROIT MI $40K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH ROCHESTER HILLS MI $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 647 $30K
2019 733 $33K
2020 783 $25K
2021 2,929 $100K
2022 1,680 $46K
2023 1,331 $37K
2024 1,487 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,104 4,055 $202K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,037 1,037 $71K
99233 Prolong inpt eval add15 m 356 89 $20K
99223 Prolong inpt eval add15 m 43 41 $5K
99232 Subsequent hospital care, per day, moderate complexity 123 47 $5K
99239 Hospital discharge day management, more than 30 minutes 72 70 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90 88 $3K
99220 20 20 $2K
99217 42 41 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15 15 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 55 54 $249.97
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) 267 262 $153.00
3078F 74 71 $0.00
3351F 3,187 3,111 $0.00
3075F 12 12 $0.00
3074F 75 72 $0.00
3079F 18 18 $0.00