Ascension Medical Group Michigan
Ascension Medical Group Michigan was paid $3.78M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
WARREN, MI 48092
Next to other Colon & Rectal Surgery 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 | 7,542 | $245K | |
| 2019 | 11,344 | $330K | |
| 2020 | 13,543 | $354K | |
| 2021 | 47,744 | $563K | |
| 2022 | 75,764 | $743K | |
| 2023 | 92,346 | $887K | |
| 2024incomplete | 55,608 | $655K |
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 | 37% | 18,910 | 18,046 | $1.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 18,617 | 17,270 | $995K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 15% | 6,060 | 6,034 | $576K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.6% | 3,740 | 3,721 | $326K |
| 99442 | 2.8% | 2,655 | 2,482 | $104K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 842 | 841 | $66K |
| 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 | 1.6% | 507 | 505 | $60K |
| 99385 | 1.1% | 424 | 424 | $43K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,388 | 3,342 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 895 | 841 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,806 | 3,388 | $20K |
| 90686 | <1% | 1,179 | 1,167 | $20K |
72 more codes
| 93000 | <1% | 1,843 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 146 | $13K |
| 90715 | <1% | 362 | $11K | |
| 87428 | <1% | 351 | $11K | |
| 90674 | <1% | 334 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,778 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,246 | $7K |
| 90750 | <1% | 40 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 349 | $5K |
| 96160 | <1% | 2,586 | $4K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 249 | $4K |
| 90661 | <1% | 145 | $4K | |
| 81003 | <1% | 2,215 | $3K | |
| 90677 | <1% | 14 | $3K | |
| 99386 | <1% | 26 | $3K | |
| 90656 | <1% | 146 | $3K | |
| 99441 | <1% | 164 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,120 | $2K |
| 90662 | <1% | 214 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 70 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 127 | $1K |
| 81002 | <1% | 645 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $817.43 |
| 96127 | <1% | 285 | $731.72 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $725.23 |
| 90688 | <1% | 43 | $691.62 | |
| 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) | <1% | 197 | $656.43 |
| 99497 | <1% | 53 | $606.43 | |
| 99443 | <1% | 49 | $510.48 | |
| G0008 | Administration of influenza virus vaccine | <1% | 386 | $208.32 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 561 | $184.49 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 56 | $175.72 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 139 | $118.54 |
| 98966 | <1% | 724 | $113.40 | |
| 77080 | <1% | 12 | $111.93 | |
| 81025 | <1% | 14 | $101.83 | |
| 99000 | <1% | 227 | $80.00 | |
| 83037 | <1% | 12 | $65.36 | |
| 99406 | <1% | 14 | $58.07 | |
| 36416 | <1% | 878 | $57.50 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 18 | $18.24 |
| 3725F | <1% | 23,329 | $9.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 24,439 | $2.96 |
| 99499 | <1% | 437 | $0.77 | |
| 3078F | <1% | 17,896 | $0.15 | |
| 1160F | <1% | 20,674 | $0.01 | |
| 3288F | <1% | 1,734 | $0.01 | |
| 1159F | <1% | 19,234 | $0.01 | |
| 3079F | <1% | 6,932 | $0.01 | |
| 3008F | <1% | 23,387 | $0.01 | |
| 1101F | <1% | 601 | $0.01 | |
| 3075F | <1% | 3,956 | $0.01 | |
| 3077F | 0% | 1,817 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 940 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,315 | $0.00 |
| 2028F | 0% | 221 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 4,336 | $0.00 |
| 3051F | 0% | 14 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 13 | $0.00 |
| 99173 | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 28 | $0.00 |
| 3046F | 0% | 12 | $0.00 | |
| 1036F | 0% | 26,266 | $0.00 | |
| 1123F | 0% | 629 | $0.00 | |
| 3074F | 0% | 20,355 | $0.00 | |
| 3080F | 0% | 1,296 | $0.00 | |
| 3044F | 0% | 1,217 | $0.00 | |
| 1125F | 0% | 7,951 | $0.00 | |
| 1126F | 0% | 9,552 | $0.00 | |
| 1034F | 0% | 3,277 | $0.00 | |
| 1035F | 0% | 963 | $0.00 | |
| 94760 | 0% | 172 | $0.00 |
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 Michigan-Cmg | Clinton Township, MI | $14.24M |
| Ascension Medical Group Michigan | Warren, MI | $4.98M |
| Ascension Medical Group Michigan | Harper Woods, MI | $4.10M |
| Ascension Medical Group Michigan | Warren, MI | $3.46M |
| Ascension ST. John Hospital | Saint Clair Shores, MI | $2.02M |
| Seton Health Corporation of Southeastern Michigan | Clinton Township, MI | $1.84M |
| Ascension River District Hospital | East China, MI | $1.70M |
| Ascension Medical Group Michigan | Detroit, MI | $829K |
| Ascension Medical Group Michigan | Saint Clair Shores, MI | $763K |
| Ascension Medical Group Michigan | Novi, MI | $505K |
| Ascension Medical Group Michigan | Clinton Township, MI | $269K |
| Seton Health Corporation of Southeastern Michigan | Macomb, MI | $149K |
| Hartford Orthopaedic Plastic & Hand Surgeons, INC. | Glastonbury, CT | $96K |
| Ascension Medical Group Michigan | Warren, MI | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.