Medicaid Provider Spending

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

ST JOSEPH MERCY HOSPITAL

NPI: 1649399197 · YPSILANTI, MI 48197 · Acute Care Nurse Practitioner · NPI assigned 03/28/2007

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

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

$36K
Total Medicaid Paid
661
Total Claims
615
Beneficiaries
9
Codes Billed
2020-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CFO SE MI REGION)
NPI Enumeration Date03/28/2007

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 SPECIALTY SERVICES MUSKEGON MI $5.27M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $2K
2021 29 $2K
2022 96 $7K
2023 400 $19K
2024 110 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99222 Initial hospital care, per day, moderate complexity 238 229 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 107 106 $6K
99215 Prolong outpt/office vis 68 68 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 48 48 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $2K
97597 87 65 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 33 24 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30 26 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 25 24 $118.75