NP / PA
Lakeland Hospitals at Niles and ST Joseph, INC
Lakeland Hospitals at Niles and ST Joseph, INC was paid $547K by Medicaid between Jan 2020 and Dec 2024, across 17 billing codes. Its largest line is 01967, Neuraxial labor analgesia/anesthesia for planned vaginal delivery — 34% of everything it billed.
33Billing provider infoLAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
33aNPI1598305641assigned 01/07/2020
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$547K
24GClaims5,564
24DCodes billed17
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in Michigan
Rank by total paid#20 of 80
Median peer was paid$87K
This provider vs. median6.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 349 | $92K | |
| 2021 | 749 | $71K | |
| 2022 | 1,410 | $120K | |
| 2023 | 1,875 | $160K | |
| 2024incomplete | 1,181 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 34% | 1,559 | 1,530 | $187K |
| 00840 | 16% | 667 | 646 | $87K | |
| 00790 | 12% | 469 | 429 | $65K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 11% | 710 | 694 | $58K |
| 00731 | 8.3% | 683 | 671 | $45K | |
| 00811 | 8.2% | 701 | 693 | $45K | |
| 01961 | 4.8% | 237 | 236 | $26K | |
| 00126 | 1.9% | 165 | 165 | $10K | |
| 00813 | 1.7% | 114 | 113 | $9K | |
| 00400 | 1.4% | 110 | 107 | $8K | |
| 00160 | <1% | 26 | 26 | $3K | |
| 00812 | <1% | 43 | 43 | $3K |
5 more codes
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 officialCALHOUN, TIM (VP FINANCE)