Ascension Medical Group Promed
Ascension Medical Group Promed was paid $10.60M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
KALAMAZOO, MI 49048
Next to other Hospice and Palliative Medicine (Family 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 | 27,318 | $1.38M | |
| 2019 | 29,376 | $1.34M | |
| 2020 | 27,802 | $1.33M | |
| 2021 | 37,750 | $1.80M | |
| 2022 | 40,182 | $1.88M | |
| 2023 | 38,096 | $1.81M | |
| 2024incomplete | 20,439 | $1.06M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 45,057 | 42,280 | $2.43M |
| 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 | 11% | 14,921 | 14,662 | $1.17M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.7% | 7,828 | 2,842 | $921K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 24,230 | 23,310 | $891K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.7% | 15,195 | 5,835 | $602K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 8,054 | 3,299 | $453K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.0% | 10,540 | 10,393 | $429K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 9,040 | 8,923 | $429K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 4,605 | 4,369 | $361K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 2,808 | 2,488 | $277K |
| 99205 | Prolong outpt/office vis | 2.3% | 2,324 | 2,287 | $242K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 3,134 | 2,817 | $221K |
114 more codes
| 93458 | 2.0% | 1,501 | $208K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 2,186 | $194K |
| 99254 | 1.7% | 2,093 | $184K | |
| 95886 | 1.2% | 3,068 | $126K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.0% | 2,415 | $107K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,397 | $84K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 1,491 | $79K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,033 | $69K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,857 | $68K |
| 99460 | <1% | 1,209 | $65K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 990 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,162 | $62K |
| 95910 | <1% | 946 | $58K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,624 | $50K |
| 99255 | <1% | 381 | $42K | |
| 92928 | <1% | 144 | $41K | |
| 99292 | <1% | 453 | $38K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,281 | $37K |
| 20610 | <1% | 1,385 | $36K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 327 | $33K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 305 | $30K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 205 | $29K |
| 43235 | <1% | 486 | $27K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 632 | $25K |
| 93018 | <1% | 2,972 | $24K | |
| 73630 | <1% | 2,893 | $21K | |
| 47562 | <1% | 57 | $20K | |
| 95908 | <1% | 516 | $19K | |
| 73610 | <1% | 1,716 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,849 | $19K |
| 99152 | <1% | 2,552 | $18K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,212 | $17K |
| 99253 | <1% | 263 | $16K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,255 | $14K |
| 95251 | <1% | 823 | $13K | |
| 93016 | <1% | 1,004 | $12K | |
| 95819 | <1% | 371 | $12K | |
| 99462 | <1% | 489 | $11K | |
| 54150 | <1% | 173 | $10K | |
| 99406 | <1% | 1,435 | $10K | |
| 93298 | <1% | 593 | $9K | |
| 93295 | <1% | 390 | $8K | |
| 73030 | <1% | 744 | $7K | |
| 93227 | <1% | 605 | $7K | |
| 73502 | <1% | 712 | $7K | |
| 73562 | <1% | 776 | $7K | |
| 93351 | <1% | 123 | $6K | |
| 36556 | <1% | 129 | $6K | |
| 94060 | <1% | 897 | $6K | |
| 95909 | <1% | 118 | $5K | |
| 73564 | <1% | 626 | $5K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 656 | $5K |
| 93321 | <1% | 1,166 | $5K | |
| 93308 | <1% | 308 | $4K | |
| 99464 | <1% | 100 | $4K | |
| 99243 | <1% | 64 | $3K | |
| 93272 | <1% | 245 | $3K | |
| 82728 | <1% | 417 | $3K | |
| 97803 | <1% | 219 | $3K | |
| 98940 | <1% | 215 | $3K | |
| 96415 | <1% | 207 | $3K | |
| 95806 | <1% | 123 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 536 | $3K |
| 64721 | <1% | 13 | $3K | |
| 93312 | <1% | 52 | $3K | |
| 93000 | <1% | 367 | $3K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 106 | $3K |
| 85027 | <1% | 600 | $3K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 12 | $3K |
| 73110 | <1% | 430 | $3K | |
| 93244 | <1% | 190 | $2K | |
| 20611 | <1% | 61 | $2K | |
| 96417 | <1% | 72 | $2K | |
| 95811 | <1% | 26 | $2K | |
| 73130 | <1% | 317 | $2K | |
| 93325 | <1% | 974 | $2K | |
| 99221 | <1% | 27 | $1K | |
| 99442 | <1% | 97 | $1K | |
| 95816 | <1% | 37 | $1K | |
| 83735 | <1% | 226 | $912.51 | |
| 93971 | <1% | 75 | $909.72 | |
| 82962 | <1% | 404 | $907.41 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 113 | $886.60 |
| 83550 | <1% | 163 | $844.15 | |
| 94010 | <1% | 91 | $834.75 | |
| 96367 | <1% | 52 | $751.54 | |
| 97804 | <1% | 97 | $716.87 | |
| 20550 | <1% | 34 | $677.01 | |
| 99356 | <1% | 18 | $625.40 | |
| 73560 | <1% | 38 | $585.60 | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 39 | $577.35 |
| 93015 | <1% | 15 | $502.62 | |
| 11730 | <1% | 12 | $452.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 421 | $400.11 |
| 93248 | <1% | 29 | $397.27 | |
| 83540 | <1% | 102 | $379.58 | |
| 73140 | <1% | 77 | $375.71 | |
| 36620 | <1% | 14 | $306.22 | |
| 93294 | <1% | 15 | $259.42 | |
| 99443 | <1% | 20 | $258.79 | |
| 84466 | <1% | 27 | $213.49 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 20 | $181.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 71 | $180.76 |
| 0298T | <1% | 144 | $158.30 | |
| 93922 | <1% | 24 | $151.62 | |
| 99441 | <1% | 26 | $114.23 | |
| 83615 | <1% | 26 | $101.08 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $88.41 |
| 11719 | <1% | 188 | $59.25 | |
| 94690 | <1% | 25 | $56.89 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 53 | $53.59 |
| 82947 | <1% | 28 | $53.14 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $45.45 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 14 | $40.07 |
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 |
|---|---|---|
| Ascension Borgess Hospital | Kalamazoo, MI | $43.08M |
| Ascension Medical Group Promed | Portage, MI | $7.97M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $6.88M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $6.03M |
| Ascension Borgess Hospital | Plainwell, MI | $4.84M |
| Ascension Borgess Allegan Hospital | Allegan, MI | $3.71M |
| Ascension Borgess Hospital | Plainwell, MI | $3.71M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $2.70M |
| Ascension Medical Group Promed | Kalamazoo, MI | $2.55M |
| Ascension Medical Group Promed | Portage, MI | $2.07M |
| Ascension Medical Group Promed | Portage, MI | $1.64M |
| Ascension Borgess Lee Hospital | Dowagiac, MI | $1.58M |
| Ascension Borgess Hospital | Portage, MI | $1.22M |
| Ascension Borgess Allegan Hospital | Gobles, MI | $298K |
| Ascension Borgess Allegan Hospital | Otsego, MI | $294K |
| Ascension Borgess Allegan Hospital | Fennville, MI | $246K |
| Ascension Borgess Hospital | Kalamazoo, MI | $91K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $55K |
| Ascension Borgess Allegan Hospital | Allegan, MI | $43K |
| Ascension Borgess Hospital | Kalamazoo, MI | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.