Botsford General Hospital
Botsford General Hospital was paid $1.06M by Medicaid between Apr 2018 and Dec 2024, across 36 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.
FARMINGTON HILLS, MI 48336
Next to other Emergency Medicine 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 | 71 | $7K | |
| 2019 | 2,776 | $68K | |
| 2020 | 2,987 | $95K | |
| 2021 | 2,987 | $111K | |
| 2022 | 4,283 | $225K | |
| 2023 | 4,522 | $290K | |
| 2024incomplete | 4,300 | $261K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 2,559 | 2,448 | $170K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 3,736 | 1,717 | $163K |
| 99223 | Prolong inpt eval add15 m | 13% | 1,287 | 1,214 | $136K |
| 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 | 12% | 1,868 | 1,831 | $130K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 10% | 1,392 | 1,366 | $109K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.4% | 1,183 | 578 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 1,385 | 1,340 | $67K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.7% | 883 | 866 | $60K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.3% | 512 | 511 | $46K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.9% | 620 | 593 | $41K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 178 | 177 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 119 | 119 | $10K |
24 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 660 | $5K |
| 90715 | <1% | 129 | $4K | |
| 90686 | <1% | 210 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,740 | $4K |
| 81002 | <1% | 1,293 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 571 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 53 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 72 | $2K |
| 88141 | <1% | 127 | $2K | |
| 99385 | <1% | 12 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 85 | $785.67 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 27 | $763.93 |
| 88112 | <1% | 44 | $681.55 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $304.32 |
| 81025 | <1% | 42 | $285.20 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $189.00 |
| 81000 | <1% | 34 | $110.23 | |
| 3074F | 0% | 388 | $0.00 | |
| 3079F | 0% | 168 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 133 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 90 | $0.00 |
| 3078F | 0% | 262 | $0.00 | |
| 3077F | 0% | 27 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 12 | $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 |
|---|---|---|
| William Beaumont Hospital | Royal Oak, MI | $168.04M |
| Oakwood Ambulatory LLC | Dearborn, MI | $67.00M |
| Botsford General Hospital | Farmington, MI | $4.59M |
| Botsford General Hosptial | Livonia, MI | $4.22M |
| Botsford General Hospital | Farmington Hills, MI | $2.39M |
| Botsford General Hospital | Farmington Hills, MI | $1.52M |
| Botsford General Hospital | Detroit, MI | $1.17M |
| Botsford General Hospital | Farmington Hills, MI | $1000K |
| Botsford General Hospital | Farmington Hills, MI | $583K |
| Botsford General Hospital | Farmington Hills, MI | $470K |
| Botsford General Hospital | Farmington Hills, MI | $310K |
| William Beaumont Hospital | Royal Oak, MI | $217K |
| Botsford General Hospital | Redford, MI | $205K |
| Botsford General Hospital | Farmington Hills, MI | $150K |
| Botsford General Hospital | Dearborn Heights, MI | $124K |
| William Beaumont Hospital | Royal Oak, MI | $119K |
| Botsford General Hospital | Farmington Hills, MI | $104K |
| William Beaumont Hospital | Royal Oak, MI | $98K |
| Botsford General Hospital | Farmington, MI | $53K |
| Botsford General Hosptial | Livonia, MI | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.