Medicaid Provider Spending

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

ST JOSEPH MERCY HOSPITAL

NPI: 1750670204 · CANTON, MI 48188 · Emergency Medicine Physician · NPI assigned 04/06/2011

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

Authorized official GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more

$40K
Total Medicaid Paid
1,025
Total Claims
986
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CFO SE MI REGION)
NPI Enumeration Date04/06/2011

Related Entities

Other providers sharing the same authorized official: GUSHO, MICHAEL

ProviderCityStateTotal Paid
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $65.22M
ST JOSEPH MERCY HOSPITAL-SMHC PONTIAC MI $51.85M
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
SAINT JOSEPH MERCY LIVINGSTON HOSPITAL HOWELL MI $18.28M
MERCY PHYSICIAN NETWORK MUSKEGON MI $11.14M
ST JOSEPH MERCY CHELSEA INC CHELSEA MI $6.89M
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST MUSKEGON MI $5.34M
MERCY SPECIALTY SERVICES MUSKEGON MI $5.27M
MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST MUSKEGON MI $1.67M
MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES MUSKEGON MI $1.56M
MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES MUSKEGON MI $1.38M
SAINT MARY'S HEALTH SERVICES GRAND RAPIDS MI $1.22M
MERCY WOMEN'S HEALTH SERVICES MUSKEGON MI $1.08M
ST JOSEPH MERCY HOSPITAL YPSILANTI MI $653K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $597K
ST JOSEPH MERCY HOSPITAL CANTON MI $474K
SJMHS ANESTHESIA SERVICES YPSILANTI MI $459K
LAKES OBGYN SPECIALIST NORTON SHORES MI $425K
CHELSEA COMMUNITY HOSPITAL CHELSEA MI $223K
JOHNSON FAMILY CENTER FOR CANCER CARE MUSKEGON MI $156K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 909 $35K
2019 116 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 484 459 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 192 190 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 103 101 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 54 53 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 53 51 $642.88
71046 Radiologic examination, chest; 2 views 45 41 $639.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 29 $278.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 15 $147.00
84703 15 14 $62.70
81003 34 33 $36.30