Medicaid Provider Spending

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

PENNOCK HOSPITAL

NPI: 1801250907 · WAYLAND, MI 49348 · Rural Health Clinic/Center · NPI assigned 04/05/2016

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

Authorized official SELLA, JOHN controls 14+ related entities in our dataset. Read more

$532K
Total Medicaid Paid
15,156
Total Claims
13,892
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSELLA, JOHN (CONTROLLER)
Parent OrganizationPENNOCK HOSPITAL
NPI Enumeration Date04/05/2016

Related Entities

Other providers sharing the same authorized official: SELLA, JOHN

ProviderCityStateTotal Paid
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $3.34M
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $3.15M
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN LUDINGTON MI $2.24M
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION FREMONT MI $1.78M
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION NEWAYGO MI $1.75M
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN GRANT MI $1.42M
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN LUDINGTON MI $1.41M
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN LUDINGTON MI $1.17M
PENNOCK HOSPITAL LAKE ODESSA MI $1.04M
PENNOCK HOSPITAL HASTINGS MI $760K
PENNOCK HOSPITAL HASTINGS MI $714K
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN HART MI $627K
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN HESPERIA MI $623K
PENNOCK HOSPITAL MIDDLEVILLE MI $384K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,599 $48K
2019 1,883 $65K
2020 1,619 $52K
2021 1,725 $63K
2022 1,787 $63K
2023 3,080 $110K
2024 3,463 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,324 7,428 $511K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,300 3,087 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,494 2,344 $8K
90686 320 320 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 101 101 $322.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 399 397 $250.06
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 30 $181.98
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 38 38 $145.58
90656 14 14 $49.17
36415 Collection of venous blood by venipuncture 41 40 $5.40
96127 45 44 $3.57
81003 13 12 $1.87
90461 24 24 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $0.00