Behavioral
Advantage Health Saint Mary's Medical Group
Advantage Health Saint Mary's Medical Group was paid $345K by Medicaid between Feb 2021 and Dec 2024, across 4 billing codes. Its largest line is 99402, — 96% of everything it billed.
33Billing provider infoADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1811585185assigned 01/04/2021
33bProvider typeSocial Worker
28Total paid$345K
24GClaims5,031
24DCodes billed4
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Social Worker providers in Michigan
Rank by total paid#30 of 142
Median peer was paid$65K
This provider vs. median5.3×
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.
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 | |
|---|---|---|---|
| 2021 | 1,170 | $80K | |
| 2022 | 1,580 | $89K | |
| 2023 | 1,201 | $85K | |
| 2024incomplete | 1,080 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99402 | 96% | 4,756 | 4,590 | $330K | |
| H1000 | Prenatal care, at-risk assessment | 3.0% | 122 | 121 | $10K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.0% | 41 | 40 | $4K |
| A0100 | Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi | <1% | 112 | 27 | $1K |
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 officialFOSTER, THOMAS (CMO)
| Provider | Location | Paid |
|---|---|---|
| Advantage Health/Saint Mary's Medical Group | Hudsonville, MI | $217K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.