Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAND RAPIDS › SPECTRUM HEALTH PRIMARY CARE PARTNERS

SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI: 1821422007 · GRAND RAPIDS, MI 49548 · Emergency Medicine Physician · NPI assigned 08/24/2013

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

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

$14.49M
Total Medicaid Paid
383,451
Total Claims
368,174
Beneficiaries
77
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 Date08/24/2013

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 $2.34M
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 43,863 $1.37M
2019 43,804 $1.56M
2020 34,533 $1.26M
2021 50,402 $1.97M
2022 67,592 $2.67M
2023 80,537 $3.03M
2024 62,720 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 119,151 112,932 $5.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 64,605 62,020 $4.01M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39,908 39,703 $2.40M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,595 4,588 $417K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30,472 29,972 $397K
87428 6,330 6,283 $228K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,981 7,911 $228K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,401 4,352 $176K
12001 1,775 1,755 $91K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,893 8,716 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,745 2,995 $77K
81025 11,089 10,875 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,984 1,956 $57K
10060 726 720 $48K
81003 26,325 25,605 $46K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,431 5,110 $39K
99215 Prolong outpt/office vis 435 434 $39K
71046 Radiologic examination, chest; 2 views 3,178 3,118 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,705 2,564 $28K
12011 335 334 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,398 5,329 $20K
90715 684 675 $20K
73630 1,257 1,227 $17K
73610 1,142 1,116 $16K
69209 1,440 1,413 $14K
73130 770 753 $11K
90686 454 452 $8K
82947 3,121 3,080 $8K
73140 453 444 $8K
36415 Collection of venous blood by venipuncture 1,619 1,607 $7K
73110 442 436 $7K
90714 314 314 $7K
12002 97 97 $6K
86308 1,226 1,214 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,821 4,548 $5K
0064A 124 124 $4K
0001A 106 105 $4K
0002A 104 103 $4K
J2360 Injection, orphenadrine citrate, up to 60 mg 591 576 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 566 539 $3K
0031A 63 63 $2K
91322 20 20 $2K
29125 68 68 $2K
90739 13 13 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,826 1,793 $2K
73562 103 100 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,750 1,691 $2K
90480 34 34 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 101 101 $1K
90656 53 53 $1K
73030 84 80 $1K
0004A 20 20 $759.15
84703 110 105 $635.60
0054A 17 17 $562.95
0124A 14 14 $488.74
0052A 14 14 $451.75
0011A 13 13 $381.08
90688 17 17 $285.62
73080 12 12 $175.84
86580 25 25 $150.78
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 3,122 2,959 $133.49
15853 14 14 $94.76
36416 1,534 1,527 $90.36
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,072 1,021 $68.58
82962 24 24 $65.12
81002 15 15 $15.80
J7050 Infusion, normal saline solution, 250 cc 13 12 $15.65
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 16 $4.58
S9088 Services provided in an urgent care center (list in addition to code for service) 1,933 1,696 $0.00
91301 43 43 $0.00
1036F 22 22 $0.00
3017F 18 18 $0.00
91303 61 61 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 68 68 $0.00
G8484 Influenza immunization was not administered, reason not given 43 43 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 47 47 $0.00
91300 256 240 $0.00