Medicaid Provider Spending

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

W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI: 1699212803 · JACKSON, MI 49201 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 01/25/2017

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

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$4.05M
Total Medicaid Paid
98,310
Total Claims
66,338
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, MARK (SVP, CMO, CEO)
Parent OrganizationHENRY FORD ALLEGIANCE HEALTH GROUP
NPI Enumeration Date01/25/2017

Related Entities

Other providers sharing the same authorized official: SMITH, MARK

ProviderCityStateTotal Paid
HUNTINGTON CARE, LLC ROSEVILLE CA $7.66M
HENRY FORD HEALTH SYSTEM DETROIT MI $5.17M
HENRY FORD HEALTH SYSTEM DETROIT MI $3.37M
W. A. FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $2.83M
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $2.38M
HAND IN HAND BETTENDORF IA $1.53M
DRS. MARK & STEVEN SMITH GREENEVILLE TN $1.17M
HENRY FORD WYANDOTTE HOSPITAL ALLEN PARK MI $803K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $645K
WA FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $600K
HENRY FORD WYANDOTTE HOSPITAL BROWNSTOWN TWP MI $322K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $311K
HENRY FORD WYANDOTTE HOSPITAL TRENTON MI $294K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $278K
T H SMITH OD AND THOMAS K SMITH OD PC MC KENZIE TN $263K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $237K
MARK A. SMITH MD INC. AKRON OH $124K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $112K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $104K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,796 $547K
2019 13,651 $599K
2020 16,067 $723K
2021 17,190 $733K
2022 17,738 $733K
2023 15,654 $600K
2024 5,214 $116K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 20,836 6,028 $1.14M
99232 Subsequent hospital care, per day, moderate complexity 21,262 7,508 $819K
99223 Prolong inpt eval add15 m 4,784 4,603 $495K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,129 6,739 $426K
99239 Hospital discharge day management, more than 30 minutes 6,885 6,613 $388K
99238 Hospital discharge day management, 30 minutes or less 3,911 3,823 $151K
99222 Initial hospital care, per day, moderate complexity 2,136 2,077 $146K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,261 1,259 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,771 1,677 $72K
99220 676 666 $64K
99215 Prolong outpt/office vis 710 639 $58K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,234 1,263 $46K
99217 1,107 1,082 $38K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,617 5,305 $26K
99221 309 304 $15K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 154 152 $15K
95810 Polysomnography; sleep staging with 4 or more additional parameters 198 198 $13K
99205 Prolong outpt/office vis 107 107 $10K
95806 174 173 $5K
99219 64 64 $4K
95811 55 54 $4K
99225 529 368 $3K
99253 43 43 $2K
99252 64 62 $2K
99226 132 100 $1K
99254 17 17 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14 14 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 407 403 $189.09
98966 56 50 $17.99
3077F 476 452 $0.00
3078F 3,636 3,446 $0.00
3075F 1,119 1,089 $0.00
3074F 3,822 3,643 $0.00
3079F 1,608 1,568 $0.00
3353F 216 210 $0.00
3351F 4,645 4,398 $0.00
3080F 146 141 $0.00