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

ST Joseph Mercy Hospital

ST Joseph Mercy Hospital was paid $40K by Medicaid between Jan 2018 and Apr 2019, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoST JOSEPH MERCY HOSPITAL
CANTON, MI 48188
33aNPI1750670204assigned 04/06/2011
28Total paid$40K
24GClaims1,025
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#140 of 248
Median peer was paid$57K
This provider vs. median0.7×

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 GUSHO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018909$35K
2019116$5K
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 61% 484 459 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17% 192 190 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.4% 103 101 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.7% 54 53 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 53 51 $642.88
71046 Radiologic examination, chest; 2 views 1.6% 45 41 $639.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 29 29 $278.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 16 15 $147.00
84703 <1% 15 14 $62.70
81003 <1% 34 33 $36.30

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.

From NPPES

Who's on the registration

Authorized officialGUSHO, MICHAEL (CFO SE MI REGION)
Same official

Other billing entities under GUSHO, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.