NP / PA
ST Joseph Mercy Hospital
ST Joseph Mercy Hospital was paid $36K by Medicaid between Jun 2020 and Sep 2024, across 9 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 48% of everything it billed.
33Billing provider infoST JOSEPH MERCY HOSPITAL
YPSILANTI, MI 48197
YPSILANTI, MI 48197
33aNPI1649399197assigned 03/28/2007
33bProvider typeAcute Care Nurse Practitioner
28Total paid$36K
24GClaims661
24DCodes billed9
24AFirst – last monthJun 2020 – Sep 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 26 | $2K | |
| 2021 | 29 | $2K | |
| 2022 | 96 | $7K | |
| 2023 | 400 | $19K | |
| 2024incomplete | 110 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 48% | 238 | 229 | $17K |
| 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 | 16% | 107 | 106 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 68 | 68 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.0% | 48 | 48 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.9% | 25 | 25 | $2K |
| 97597 | 4.1% | 87 | 65 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.0% | 33 | 24 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 30 | 26 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 25 | 24 | $118.75 |
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 officialGUSHO, MICHAEL (CFO SE MI REGION)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.