Medicaid Provider Spending

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

ASCENSION MEDICAL GROUP PROMED

NPI: 1720009954 · KALAMAZOO, MI 49048 · Hospice and Palliative Medicine (Family Medicine) Physician · NPI assigned 07/22/2006

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

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$10.60M
Total Medicaid Paid
220,963
Total Claims
189,027
Beneficiaries
126
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date07/22/2006

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,439 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,057 42,280 $2.43M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14,921 14,662 $1.17M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,828 2,842 $921K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,230 23,310 $891K
99232 Subsequent hospital care, per day, moderate complexity 15,195 5,835 $602K
99233 Prolong inpt eval add15 m 8,054 3,299 $453K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,540 10,393 $429K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,040 8,923 $429K
99215 Prolong outpt/office vis 4,605 4,369 $361K
99223 Prolong inpt eval add15 m 2,808 2,488 $277K
99205 Prolong outpt/office vis 2,324 2,287 $242K
99222 Initial hospital care, per day, moderate complexity 3,134 2,817 $221K
93458 1,501 1,468 $208K
99244 Office or other outpatient consultation, moderate to high complexity 2,186 2,163 $194K
99254 2,093 1,891 $184K
95886 3,068 3,012 $126K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,415 2,394 $107K
99239 Hospital discharge day management, more than 30 minutes 1,397 1,377 $84K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,491 1,058 $79K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,033 1,030 $69K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,857 1,427 $68K
99460 1,209 1,203 $65K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 990 972 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,162 3,057 $62K
95910 946 941 $58K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,624 1,310 $50K
99255 381 350 $42K
92928 144 110 $41K
99292 453 300 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,281 1,276 $37K
20610 1,385 1,195 $36K
45380 Colonoscopy, flexible; with biopsy, single or multiple 327 322 $33K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 305 300 $30K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 205 205 $29K
43235 486 477 $27K
99238 Hospital discharge day management, 30 minutes or less 632 619 $25K
93018 2,972 2,946 $24K
73630 2,893 2,574 $21K
47562 57 49 $20K
95908 516 515 $19K
73610 1,716 1,578 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,849 4,705 $19K
99152 2,552 2,438 $18K
80053 Comprehensive metabolic panel 2,212 1,626 $17K
99253 263 243 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,255 1,660 $14K
95251 823 814 $13K
93016 1,004 1,002 $12K
95819 371 365 $12K
99462 489 393 $11K
54150 173 171 $10K
99406 1,435 1,383 $10K
93298 593 588 $9K
93295 390 388 $8K
73030 744 710 $7K
93227 605 604 $7K
73502 712 686 $7K
73562 776 735 $7K
93351 123 122 $6K
36556 129 105 $6K
94060 897 885 $6K
95909 118 116 $5K
73564 626 581 $5K
96375 Therapeutic injection; each additional sequential IV push 656 467 $5K
93321 1,166 1,119 $5K
93308 308 273 $4K
99464 100 100 $4K
99243 64 64 $3K
93272 245 243 $3K
82728 417 408 $3K
97803 219 213 $3K
98940 215 128 $3K
96415 207 165 $3K
95806 123 123 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 536 414 $3K
64721 13 13 $3K
93312 52 49 $3K
93000 367 362 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 106 76 $3K
85027 600 413 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 12 12 $3K
73110 430 390 $3K
93244 190 189 $2K
20611 61 56 $2K
96417 72 48 $2K
95811 26 26 $2K
73130 317 278 $2K
93325 974 945 $2K
99221 27 26 $1K
99442 97 96 $1K
95816 37 36 $1K
83735 226 126 $912.51
93971 75 53 $909.72
82962 404 392 $907.41
83036 Hemoglobin; glycosylated (A1C) 113 110 $886.60
83550 163 160 $844.15
94010 91 88 $834.75
96367 52 36 $751.54
97804 97 87 $716.87
20550 34 31 $677.01
99356 18 12 $625.40
73560 38 38 $585.60
J2469 Injection, palonosetron hcl, 25 mcg 39 25 $577.35
93015 15 15 $502.62
11730 12 12 $452.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 421 271 $400.11
93248 29 29 $397.27
83540 102 100 $379.58
73140 77 68 $375.71
36620 14 13 $306.22
93294 15 15 $259.42
99443 20 19 $258.79
84466 27 27 $213.49
J1030 Injection, methylprednisolone acetate, 40 mg 20 18 $181.62
36415 Collection of venous blood by venipuncture 71 71 $180.76
0298T 144 143 $158.30
93922 24 24 $151.62
99441 26 25 $114.23
83615 26 26 $101.08
J1040 Injection, methylprednisolone acetate, 80 mg 13 13 $88.41
11719 188 186 $59.25
94690 25 25 $56.89
J2405 Injection, ondansetron hydrochloride, per 1 mg 53 39 $53.59
82947 28 28 $53.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 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) 14 14 $40.07