Medicaid Provider Spending

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

SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI: 1790093763 · GRAND RAPIDS, MI 49503 · Family Medicine Physician · NPI assigned 09/23/2010

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

Authorized official CATIGNANI, RYAN controls 15+ related entities in our dataset. Read more

$2.34M
Total Medicaid Paid
53,593
Total Claims
27,961
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCATIGNANI, RYAN (VP FINANCE)
Parent OrganizationSPECTRUM HEALTH PRIMARY CARE PARTNERS
NPI Enumeration Date09/23/2010

Related Entities

Other providers sharing the same authorized official: CATIGNANI, RYAN

ProviderCityStateTotal Paid
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $219.58M
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $26.99M
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $14.49M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $1.55M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $910K
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $841K
PENNOCK HOSPITAL HASTINGS MI $719K
SPECTRUM HEALTH PRIMARY CARE PARTNERS MUSKEGON MI $710K
SPECTRUM HEALTH PRIMARY CARE PARTNERS HOLLAND MI $319K
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN LUDINGTON MI $268K
SPECTRUM HEALTH PRIMARY CARE PARTNERS HUDSONVILLE MI $152K
REED CITY HOSPITAL CORPORATION REED CITY MI $115K
SPECTRUM HEALTH PRIMARY CARE PARTNERS WYOMING MI $106K
SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI $73K
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,211 $320K
2019 7,966 $346K
2020 7,507 $338K
2021 8,563 $330K
2022 7,847 $291K
2023 7,308 $331K
2024 7,191 $379K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 22,338 6,782 $742K
99233 Prolong inpt eval add15 m 12,843 4,581 $598K
99223 Prolong inpt eval add15 m 5,218 4,981 $421K
99239 Hospital discharge day management, more than 30 minutes 7,150 6,773 $347K
99222 Initial hospital care, per day, moderate complexity 1,595 1,570 $92K
99220 456 451 $35K
99217 1,035 1,007 $27K
99225 1,708 725 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 217 144 $21K
99238 Hospital discharge day management, 30 minutes or less 461 455 $16K
99219 155 152 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 42 41 $2K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 294 237 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 31 12 $658.95
99221 12 12 $601.80
99418 Prolong nursin fac eval 15m 12 12 $498.40
99308 Subsequent nursing facility care, per day, straightforward 14 14 $443.77
93016 12 12 $99.84