Physician
Spectrum Health Primary Care Partners
Spectrum Health Primary Care Partners was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.
33Billing provider infoSPECTRUM HEALTH PRIMARY CARE PARTNERS
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1790093763assigned 09/23/2010
33bProvider typeFamily Medicine Physician
28Total paid$2.34M
24GClaims53,593
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#51 of 826
Median peer was paid$98K
This provider vs. median24×
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 CATIGNANI, RYAN controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 7,191 | $379K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 22,338 | 6,782 | $742K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 12,843 | 4,581 | $598K |
| 99223 | Prolong inpt eval add15 m | 18% | 5,218 | 4,981 | $421K |
| 99239 | Hospital discharge day management, more than 30 minutes | 15% | 7,150 | 6,773 | $347K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 1,595 | 1,570 | $92K |
| 99220 | 1.5% | 456 | 451 | $35K | |
| 99217 | 1.1% | 1,035 | 1,007 | $27K | |
| 99225 | <1% | 1,708 | 725 | $23K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 217 | 144 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 461 | 455 | $16K |
| 99219 | <1% | 155 | 152 | $9K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 42 | 41 | $2K |
6 more codes
| 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) | <1% | 294 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 31 | $658.95 |
| 99221 | <1% | 12 | $601.80 | |
| 99418 | Prolong nursin fac eval 15m | <1% | 12 | $498.40 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $443.77 |
| 93016 | <1% | 12 | $99.84 |
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 officialCATIGNANI, RYAN (VP FINANCE)
Parent organizationSPECTRUM HEALTH PRIMARY CARE PARTNERS
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.