Medicaid Provider Spending

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

TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION

NPI: 1790706901 · LIVONIA, MI 48154 · General Acute Care Hospital · NPI assigned 07/22/2006

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

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

$27.75M
Total Medicaid Paid
988,461
Total Claims
891,291
Beneficiaries
331
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (CFO & TREASURER)
NPI Enumeration Date07/22/2006

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
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
ST MARY MERCY HOSPITAL CRNA LIVONIA MI $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 90,516 $3.16M
2019 142,712 $3.50M
2020 125,978 $3.40M
2021 164,156 $4.58M
2022 164,023 $4.39M
2023 168,663 $4.83M
2024 132,413 $3.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,944 16,855 $7.85M
99284 Emergency department visit for the evaluation and management, high severity 21,015 19,790 $4.83M
99283 Emergency department visit for the evaluation and management, moderate severity 16,132 15,326 $2.11M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,565 15,860 $1.63M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,812 4,656 $634K
80061 Lipid panel 18,472 18,377 $523K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,277 1,271 $454K
96361 Intravenous infusion, hydration; each additional hour 11,468 9,839 $417K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,401 5,279 $393K
70450 Computed tomography, head or brain; without contrast material 4,588 4,441 $391K
96375 Therapeutic injection; each additional sequential IV push 13,000 10,769 $362K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,064 2,945 $308K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,264 2,527 $304K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,452 3,144 $291K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 5,144 4,964 $287K
71046 Radiologic examination, chest; 2 views 7,892 7,696 $279K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,704 3,629 $275K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,208 11,953 $236K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,101 11,848 $231K
71045 Radiologic examination, chest; single view 6,527 6,260 $230K
G0378 Hospital observation service, per hour 6,148 5,384 $227K
76830 Ultrasound, transvaginal 3,373 3,325 $193K
84443 Thyroid stimulating hormone (TSH) 28,003 27,316 $188K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,548 3,498 $182K
45380 Colonoscopy, flexible; with biopsy, single or multiple 312 311 $175K
59025 Fetal non-stress test 1,912 1,333 $171K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 10,304 10,270 $166K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,641 1,618 $162K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,415 6,995 $162K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,662 2,621 $156K
80053 Comprehensive metabolic panel 41,609 38,539 $152K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 4,385 4,378 $134K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16,368 14,346 $130K
77067 Screening mammography, bilateral, including computer-aided detection 2,602 2,595 $126K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 10,007 8,515 $123K
97161 1,281 1,258 $118K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,333 2,146 $113K
71275 Computed tomographic angiography, chest, with contrast material 1,397 1,361 $111K
G0475 Hiv antigen/antibody, combination assay, screening 7,186 7,165 $103K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 57,429 49,604 $102K
76801 1,800 1,607 $100K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,249 2,194 $88K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,268 1,901 $86K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 410 407 $84K
83036 Hemoglobin; glycosylated (A1C) 13,703 13,656 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,886 2,729 $68K
71260 Computed tomography, thorax, diagnostic; with contrast material 617 613 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,079 1,076 $65K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,747 3,603 $64K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,032 3,027 $64K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 827 666 $61K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 308 191 $59K
86900 6,611 6,051 $54K
88142 4,356 4,345 $53K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2,584 2,507 $47K
82607 5,637 5,605 $46K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,339 830 $46K
82728 5,936 5,817 $45K
93975 368 362 $42K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 297 294 $40K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 232 142 $40K
85027 16,444 14,919 $40K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,843 723 $38K
76642 875 870 $36K
86780 4,292 4,257 $35K
84439 11,217 10,975 $34K
87808 4,702 4,649 $33K
70496 284 283 $32K
87086 Culture, bacterial; quantitative colony count, urine 8,841 8,452 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,020 6,148 $32K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,528 1,518 $32K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 68 68 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,352 15,611 $28K
87340 4,638 4,625 $26K
77063 Screening digital breast tomosynthesis, bilateral 2,005 2,003 $26K
36415 Collection of venous blood by venipuncture 42,711 39,440 $25K
93971 443 429 $25K
82947 1,466 1,433 $24K
84466 3,401 3,347 $24K
76770 390 381 $24K
80048 Basic metabolic panel (calcium, ionized) 24,980 20,896 $23K
82746 2,817 2,797 $22K
84702 4,834 3,965 $22K
93798 328 61 $21K
72125 Computed tomography, cervical spine; without contrast material 1,668 1,635 $21K
0002A 515 515 $19K
83540 5,211 5,102 $19K
0001A 523 522 $18K
87081 5,797 5,703 $18K
77066 Tomosynthesis, mammo 303 302 $18K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 34 30 $17K
86850 6,515 6,029 $17K
76536 325 325 $16K
72128 846 829 $16K
93970 146 146 $16K
87077 3,386 3,278 $16K
97165 290 288 $16K
J1750 Injection, iron dextran, 50 mg 122 82 $15K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,315 1,313 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 134 134 $14K
80074 587 583 $14K
84403 958 948 $13K
72100 829 815 $12K
87205 5,806 5,671 $12K
87070 2,715 2,646 $12K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 14 12 $12K
83735 19,650 16,191 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,442 7,105 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 171 171 $11K
86762 1,619 1,614 $10K
84481 1,026 1,001 $10K
83880 2,598 2,518 $10K
87186 2,180 2,098 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,843 1,814 $9K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 706 706 $9K
86787 1,405 1,398 $9K
84146 700 696 $8K
86803 1,159 1,156 $8K
83001 736 730 $8K
81001 19,285 18,238 $8K
83516 589 348 $8K
87147 2,643 2,061 $8K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 52 52 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 836 800 $7K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 104 80 $7K
86235 118 110 $7K
82043 1,941 1,931 $7K
86140 3,577 3,261 $7K
82670 347 343 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,659 2,480 $6K
85610 8,773 8,064 $6K
87102 990 979 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 442 441 $5K
85730 6,821 6,504 $5K
73030 829 787 $5K
86901 6,603 6,044 $5K
84460 2,110 1,952 $5K
70486 188 186 $5K
73630 1,370 1,347 $5K
80076 7,723 7,243 $4K
82784 535 521 $4K
84450 1,655 1,514 $4K
82570 1,372 1,299 $4K
87106 606 531 $4K
71271 70 70 $4K
74018 361 336 $4K
77065 Tomosynthesis, mammo 87 81 $4K
84550 1,893 1,766 $4K
83655 477 476 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 910 878 $4K
85652 3,356 3,128 $4K
0012A 122 122 $4K
87088 965 913 $4K
73130 829 814 $4K
86039 651 646 $4K
73562 847 834 $4K
83690 10,298 9,571 $4K
86696 316 313 $4K
93017 268 266 $4K
82248 4,339 4,059 $3K
86003 77 39 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 148 117 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 26 26 $3K
82950 945 944 $3K
87634 59 59 $3K
J2560 Injection, phenobarbital sodium, up to 120 mg 205 179 $3K
83013 87 87 $3K
84100 3,331 2,459 $3K
86593 330 328 $3K
86695 327 324 $3K
0011A 117 117 $2K
82550 1,845 1,661 $2K
83615 1,086 959 $2K
83002 206 204 $2K
86592 785 784 $2K
86038 285 285 $2K
86364 181 150 $2K
72141 12 12 $2K
73610 804 785 $2K
80164 249 226 $2K
82565 1,186 1,015 $2K
83020 293 293 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,274 1,246 $2K
86160 100 98 $2K
82627 106 106 $2K
85007 1,766 1,569 $2K
83970 71 71 $1K
70491 12 12 $1K
74022 787 768 $1K
72131 26 26 $1K
86431 382 381 $1K
88304 180 177 $1K
71250 25 25 $1K
84630 160 159 $1K
86376 116 116 $1K
76819 Fetal biophysical profile; without non-stress testing 19 12 $1K
86258 67 67 $1K
86694 116 115 $998.14
70498 257 256 $973.99
86225 111 110 $966.35
0004A 28 28 $955.07
82525 115 114 $888.17
85379 4,384 4,262 $875.99
82465 391 389 $872.13
96367 31 27 $869.21
86200 100 100 $834.98
87899 52 50 $820.58
80069 214 207 $799.94
82105 96 95 $703.95
84520 800 655 $695.68
84156 421 354 $690.25
73110 174 164 $672.18
0064A 21 21 $651.81
86706 99 99 $647.91
84484 12,181 8,731 $613.22
73564 18 18 $601.16
82040 587 578 $570.78
73502 53 52 $564.97
86769 32 31 $530.37
82247 321 298 $463.19
82150 275 271 $457.62
86800 39 39 $436.19
82785 37 37 $413.67
94760 273 190 $383.50
83520 2,337 1,847 $328.78
82977 161 160 $310.60
82805 602 540 $306.88
84075 388 380 $293.58
81002 456 269 $293.26
83605 5,253 4,530 $292.33
81003 1,016 979 $268.51
87045 52 52 $253.96
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 213 170 $250.64
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,597 2,306 $249.88
83014 75 75 $248.07
87449 41 38 $248.03
84155 402 395 $242.35
72170 41 41 $240.94
86765 99 99 $231.31
84703 248 241 $226.26
86735 90 90 $224.67
87040 1,382 930 $215.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,066 1,600 $213.99
83498 12 12 $211.58
87046 40 40 $205.94
83550 98 94 $199.72
87324 25 25 $180.87
82310 379 373 $176.32
84153 52 51 $153.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 685 671 $153.85
84480 13 13 $125.62
J7030 Infusion, normal saline solution , 1000 cc 16,386 14,152 $113.12
87807 15 15 $112.96
82677 13 12 $109.50
12001 40 40 $100.39
83721 12 12 $93.07
81025 5,692 5,423 $86.05
73090 15 12 $85.88
96376 5,818 3,792 $84.74
87420 107 107 $77.13
86336 13 12 $70.59
84295 325 321 $48.48
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,708 9,966 $45.70
85045 55 46 $45.65
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 234 185 $42.18
82374 308 304 $38.18
J1885 Injection, ketorolac tromethamine, per 15 mg 9,632 8,492 $37.17
82435 309 305 $36.56
87015 12 12 $35.20
J7120 Ringers lactate infusion, up to 1000 cc 5,882 4,759 $33.05
J0696 Injection, ceftriaxone sodium, per 250 mg 1,831 1,549 $32.29
80051 13 13 $25.28
J1170 Injection, hydromorphone, up to 4 mg 4,952 3,123 $21.16
86308 12 12 $20.11
J3475 Injection, magnesium sulfate, per 500 mg 969 795 $19.96
84132 41 36 $16.30
J2250 Injection, midazolam hydrochloride, per 1 mg 5,691 5,427 $14.76
84145 83 81 $13.52
76937 121 110 $9.94
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 347 289 $9.10
J3010 Injection, fentanyl citrate, 0.1 mg 4,941 4,645 $8.36
J2765 Injection, metoclopramide hcl, up to 10 mg 1,409 1,250 $5.08
J7050 Infusion, normal saline solution, 250 cc 3,094 2,043 $5.08
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,606 4,938 $2.98
J2704 Injection, propofol, 10 mg 6,581 6,247 $1.22
36410 80 73 $1.06
A9270 Non-covered item or service 836 306 $0.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,621 4,198 $0.35
A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard 13 13 $0.00
J1630 Injection, haloperidol, up to 5 mg 1,294 1,067 $0.00
J3490 Unclassified drugs 1,958 1,415 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 553 345 $0.00
J2060 Injection, lorazepam, 2 mg 3,082 2,430 $0.00
C1769 Guide wire 252 232 $0.00
J0690 Injection, cefazolin sodium, 500 mg 3,034 2,675 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 110 100 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 310 206 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 117 112 $0.00
J3480 Injection, potassium chloride, per 2 meq 122 81 $0.00
J1815 Injection, insulin, per 5 units 532 234 $0.00
J3411 Injection, thiamine hcl, 100 mg 187 155 $0.00
A9585 Injection, gadobutrol, 0.1 ml 53 52 $0.00
J2785 Injection, regadenoson, 0.1 mg 13 13 $0.00
96368 26 25 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 70 55 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 15 15 $0.00
80320 43 33 $0.00
V2632 Posterior chamber intraocular lens 15 13 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 15 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 14 12 $0.00
J1836 Injection, metronidazole, 10 mg 23 13 $0.00
J1644 Injection, heparin sodium, per 1000 units 1,007 514 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 670 581 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 827 703 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 2,448 1,226 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 4,660 3,526 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,297 1,112 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 51 44 $0.00
J1171 Injection, hydromorphone, 0.1 mg 115 82 $0.00
90714 445 442 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 82 63 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 36 36 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 52 47 $0.00
82009 72 65 $0.00
J3370 Injection, vancomycin hcl, 500 mg 127 90 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 61 50 $0.00
J1756 Injection, iron sucrose, 1 mg 93 32 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 28 27 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 31 26 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 24 24 $0.00
90715 15 15 $0.00