Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoASCENSION MEDICAL GROUP PROMED
KALAMAZOO, MI 49048
33aNPI1720009954assigned 07/22/2006
28Total paid$10.60M
24GClaims220,963
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hospice and Palliative Medicine (Family Medicine) Physician providers in Michigan

Rank by total paid#1 of 6
Median peer was paid$20K
This provider vs. median544×

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.

Entity ProliferationAuthorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201827,318$1.38M
201929,376$1.34M
202027,802$1.33M
202137,750$1.80M
202240,182$1.88M
202338,096$1.81M
2024incomplete20,439$1.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

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Authorized officialHOUGHTON, MARINA (CFO)
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