Medicaid Provider Spending

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

MERCY SPECIALTY SERVICES

NPI: 1629010384 · MUSKEGON, MI 49444 · Neuromusculoskeletal Medicine & OMM Physician · NPI assigned 06/10/2006

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$5.27M
Total Medicaid Paid
112,839
Total Claims
71,806
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMERCY HEALTH PARTNERS
NPI Enumeration Date06/10/2006

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
ST JOSEPH MERCY HOSPITAL-SMHC PONTIAC MI $51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES MUSKEGON MI $1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
LAKES OBGYN SPECIALIST NORTON SHORES MI $425K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,004 $642K
2019 14,502 $635K
2020 14,492 $671K
2021 17,471 $880K
2022 17,214 $819K
2023 17,860 $849K
2024 16,296 $774K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 36,391 11,026 $1.34M
99223 Prolong inpt eval add15 m 10,645 9,993 $1.03M
99233 Prolong inpt eval add15 m 13,027 5,569 $700K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,012 1,720 $461K
99239 Hospital discharge day management, more than 30 minutes 6,855 6,498 $385K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,855 4,158 $245K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,193 5,955 $245K
99238 Hospital discharge day management, 30 minutes or less 3,496 3,378 $128K
98927 4,493 3,997 $116K
99222 Initial hospital care, per day, moderate complexity 1,590 1,534 $108K
99220 1,200 1,177 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,406 1,405 $106K
98926 4,290 3,657 $88K
98928 1,935 1,767 $63K
99217 1,050 1,030 $36K
99460 490 468 $25K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,831 3,358 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 662 331 $16K
54150 263 256 $15K
99205 Prolong outpt/office vis 94 92 $8K
98925 469 402 $6K
98929 170 153 $6K
99215 Prolong outpt/office vis 50 50 $4K
99254 38 37 $3K
99462 104 81 $2K
99225 109 41 $1K
36620 57 37 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 27 $777.66
99308 Subsequent nursing facility care, per day, straightforward 73 37 $571.29
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $544.98
76937 101 88 $376.62
93016 26 26 $313.11
93018 26 26 $208.75
3075F 243 233 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 70 66 $0.00
3074F 1,599 1,413 $0.00
3079F 402 381 $0.00
3078F 1,472 1,314 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00