Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Mercy Health Partners

Mercy Health Partners was paid $98.26M by Medicaid between Jan 2018 and Dec 2024, across 674 billing codes. Its largest line is 99285, emergency room visit (most serious) — 14% of everything it billed.

33Billing provider infoMERCY HEALTH PARTNERS
MUSKEGON, MI 49444
33aNPI1831132133assigned 06/14/2006
28Total paid$98.26M
24GClaims3,195,800
24DCodes billed674
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#8 of 86
Median peer was paid$21.55M
This provider vs. median4.6×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018437,095$12.05M
2019419,722$10.92M
2020402,507$11.81M
2021548,052$18.43M
2022530,195$17.21M
2023499,850$16.33M
2024incomplete358,379$11.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 48,294 43,396 $14.03M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13% 226,887 188,869 $13.24M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 56,360 51,503 $10.46M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.8% 70,796 65,921 $8.66M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.3% 44,130 38,280 $4.23M
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 1.9% 31,626 30,055 $1.90M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 24,864 24,111 $1.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.7% 12,201 11,802 $1.67M
71046 Radiologic examination, chest; 2 views 1.4% 38,608 36,609 $1.40M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.4% 52,791 17,922 $1.33M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.3% 3,853 3,830 $1.26M
70450 Computed tomography, head or brain; without contrast material 1.3% 13,766 13,170 $1.25M
662 more codes
J3380 Injection, vedolizumab, intravenous, 1 mg 1.3% 401 $1.25M
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1.0% 11,957 $1.03M
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.0% 2,061 $994K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 10,775 $926K
96375 Therapeutic injection; each additional sequential IV push <1% 30,913 $874K
59025 Fetal non-stress test <1% 9,205 $826K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,055 $817K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 805 $801K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,882 $756K
71045 Radiologic examination, chest; single view <1% 18,734 $719K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 7,201 $687K
96361 Intravenous infusion, hydration; each additional hour <1% 21,988 $638K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 13,176 $633K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 216 $578K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,389 $575K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 8,813 $561K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 38,998 $536K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 38,940 $534K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,484 $525K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 4,616 $494K
80061 Lipid panel <1% 29,030 $435K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 3,991 $434K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 6,851 $431K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,022 $420K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,496 $416K
41899 Unlisted procedure, dentoalveolar structures <1% 127 $407K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 7,320 $407K
77067 Screening mammography, bilateral, including computer-aided detection <1% 8,555 $399K
76830 Ultrasound, transvaginal <1% 6,978 $398K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 33,293 $385K
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 <1% 16,019 $373K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 21,968 $357K
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 <1% 18,815 $350K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 718 $341K
97161 <1% 6,542 $326K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 5,928 $319K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 2,889 $316K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 775 $313K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,073 $298K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 278 $292K
76801 <1% 4,658 $269K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 4,586 $265K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 6,655 $256K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 39,313 $245K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 2,014 $240K
80053 Comprehensive metabolic panel <1% 130,527 $237K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 24,040 $232K
97162 <1% 5,141 $228K
84443 Thyroid stimulating hormone (TSH) <1% 46,142 $226K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,610 $221K
G0378 Hospital observation service, per hour <1% 4,037 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,484 $217K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 6,730 $215K
94060 <1% 1,749 $211K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 17,246 $211K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,422 $210K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 7,253 $210K
86900 <1% 12,924 $194K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,093 $193K
72141 <1% 1,512 $192K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 4,610 $177K
87480 <1% 23,301 $175K
87660 <1% 23,280 $174K
87510 <1% 22,948 $169K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 128,343 $165K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 321 $165K
J2357 Injection, omalizumab, 5 mg <1% 188 $162K
10060 <1% 1,686 $154K
78815 Positron emission tomography (PET) for limited area imaging <1% 217 $149K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 3,521 $145K
90791 Psychiatric diagnostic evaluation <1% 2,767 $142K
49083 <1% 301 $141K
90686 <1% 10,055 $138K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,584 $137K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 5,153 $135K
73221 <1% 1,152 $131K
93971 <1% 2,322 $123K
47562 <1% 44 $120K
76642 <1% 3,065 $119K
90651 <1% 1,600 $113K
90677 <1% 675 $113K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,007 $107K
70491 <1% 1,050 $107K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 896 $106K
Q3014 Telehealth originating site facility fee <1% 5,615 $102K
G0475 Hiv antigen/antibody, combination assay, screening <1% 7,214 $101K
83036 Hemoglobin; glycosylated (A1C) <1% 25,291 $100K
76536 <1% 1,923 $99K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 4,404 $98K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg <1% 140 $97K
36415 Collection of venous blood by venipuncture <1% 97,018 $96K
90472 Immunization administration, each additional vaccine (list separately) <1% 6,110 $96K
97165 <1% 2,414 $93K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,044 $91K
72110 <1% 2,248 $89K
77066 Tomosynthesis, mammo <1% 1,617 $88K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 5,956 $88K
64400 <1% 595 $85K
62323 <1% 355 $85K
70496 <1% 996 $81K
71271 <1% 1,414 $80K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 3,154 $79K
29581 <1% 1,133 $78K
86003 <1% 1,917 $78K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 3,473 $75K
93017 <1% 2,126 $74K
58301 <1% 543 $73K
71250 <1% 1,471 $73K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 6,896 $72K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 52,186 $70K
80074 <1% 3,790 $69K
87086 Culture, bacterial; quantitative colony count, urine <1% 31,150 $68K
64615 <1% 514 $67K
72100 <1% 4,816 $67K
72158 <1% 402 $66K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,704 $65K
95806 <1% 845 $64K
70486 <1% 2,297 $63K
82728 <1% 11,144 $63K
93798 <1% 928 $61K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 11,822 $59K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 361 $57K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 125 $57K
87653 <1% 4,427 $55K
76775 <1% 1,759 $54K
82607 <1% 8,627 $54K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,250 $53K
0002A <1% 1,593 $52K
64405 <1% 389 $52K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 137 $51K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 348 $51K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,956 $50K
95811 <1% 106 $49K
93976 <1% 914 $48K
73630 <1% 5,948 $48K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 3,160 $48K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,186 $48K
74018 <1% 3,321 $48K
76818 <1% 812 $48K
74019 <1% 2,264 $46K
72050 <1% 1,091 $46K
99406 <1% 3,479 $46K
64493 <1% 110 $45K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 175 $45K
73030 <1% 4,572 $45K
88342 <1% 3,019 $44K
99385 <1% 664 $42K
73562 <1% 4,253 $42K
0001A <1% 1,690 $42K
94726 <1% 1,799 $41K
73610 <1% 4,586 $40K
80048 Basic metabolic panel (calcium, ionized) <1% 19,149 $40K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,612 $39K
84702 <1% 9,063 $39K
85027 <1% 24,226 $39K
93970 <1% 334 $37K
87070 <1% 12,367 $36K
51700 <1% 270 $35K
72072 <1% 1,493 $34K
73130 <1% 5,165 $34K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 148 $33K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,413 $32K
72125 Computed tomography, cervical spine; without contrast material <1% 5,051 $32K
86780 <1% 3,808 $30K
86803 <1% 4,935 $30K
77080 <1% 541 $30K
93225 <1% 715 $30K
86235 <1% 647 $29K
76770 <1% 513 $29K
64483 <1% 81 $28K
90670 <1% 1,821 $28K
91200 <1% 708 $27K
73110 <1% 2,879 $27K
84439 <1% 8,559 $27K
83540 <1% 9,159 $26K
58558 <1% 51 $26K
73564 <1% 1,240 $26K
20553 <1% 228 $25K
73140 <1% 2,018 $25K
87522 Neg quan hep c or qual rna <1% 1,481 $25K
87077 <1% 10,594 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,124 $24K
87186 <1% 9,877 $24K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 91 $24K
87536 <1% 552 $23K
58661 <1% 12 $23K
77065 Tomosynthesis, mammo <1% 570 $23K
58100 <1% 268 $23K
73700 <1% 424 $23K
20610 <1% 201 $22K
17110 <1% 442 $22K
84466 <1% 3,846 $22K
73502 <1% 2,069 $21K
86480 <1% 676 $21K
87340 <1% 5,616 $21K
83970 <1% 1,080 $21K
58300 <1% 1,200 $20K
83880 <1% 10,602 $19K
72082 <1% 360 $19K
87641 <1% 1,879 $19K
90620 <1% 329 $19K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,651 $19K
62321 <1% 76 $19K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,821 $18K
82746 <1% 2,882 $18K
85610 <1% 35,521 $18K
91320 <1% 159 $17K
86850 <1% 12,278 $17K
76870 <1% 965 $17K
86762 <1% 4,047 $17K
57454 <1% 114 $17K
92523 <1% 152 $17K
83655 <1% 2,761 $16K
87081 <1% 11,940 $15K
83735 <1% 35,507 $15K
72040 <1% 1,483 $15K
82043 <1% 5,497 $15K
83550 <1% 3,875 $15K
82570 <1% 7,319 $14K
84403 <1% 1,247 $14K
87088 <1% 7,183 $13K
0124A <1% 484 $13K
86140 <1% 12,104 $13K
93246 <1% 815 $13K
82105 <1% 1,824 $13K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 306 $13K
81001 <1% 47,942 $13K
90734 <1% 1,078 $12K
97535 Self-care/home management training, each 15 minutes <1% 1,255 $12K
83516 <1% 1,988 $12K
76819 Fetal biophysical profile; without non-stress testing <1% 207 $12K
87899 <1% 1,242 $12K
88304 <1% 2,593 $12K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 152 $12K
84481 <1% 2,099 $12K
84146 <1% 1,302 $12K
88307 <1% 609 $12K
82784 <1% 2,152 $11K
83020 <1% 2,571 $11K
87640 <1% 1,029 $11K
80055 <1% 434 $11K
82950 <1% 4,015 $11K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 39 $11K
96415 <1% 294 $10K
81025 <1% 5,279 $10K
86039 <1% 2,096 $10K
90746 <1% 150 $10K
73080 <1% 1,507 $10K
97116 <1% 1,659 $10K
87147 <1% 7,084 $10K
0054A <1% 288 $9K
0004A <1% 284 $9K
86592 <1% 4,127 $9K
88341 <1% 320 $9K
86769 <1% 444 $9K
83001 <1% 987 $9K
72170 <1% 1,324 $9K
86364 <1% 1,045 $9K
78830 <1% 12 $9K
84425 <1% 820 $9K
90732 <1% 130 $8K
99496 <1% 141 $8K
99495 <1% 141 $8K
73590 <1% 1,720 $8K
76882 <1% 153 $7K
78451 <1% 14 $7K
84703 <1% 35,167 $7K
80076 <1% 2,770 $7K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 172 $7K
97035 <1% 1,311 $7K
96127 <1% 1,766 $7K
86225 <1% 1,003 $7K
71101 <1% 472 $6K
90656 <1% 461 $6K
99214 Doctor's office visit, returning patient (more involved) <1% 411 $6K
85730 <1% 19,702 $6K
99213 Doctor's office visit, returning patient (routine) <1% 1,172 $6K
97166 <1% 183 $6K
70498 <1% 909 $6K
90480 <1% 171 $6K
86038 <1% 1,087 $6K
85652 <1% 7,905 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,957 $6K
11982 <1% 53 $6K
86376 <1% 810 $6K
82565 <1% 2,435 $6K
86258 <1% 500 $6K
99000 <1% 449 $5K
0012A <1% 183 $5K
93296 <1% 353 $5K
43450 <1% 51 $5K
84156 <1% 4,661 $5K
87529 <1% 414 $5K
73090 <1% 1,247 $5K
72131 <1% 101 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,603 $5K
86901 <1% 12,886 $5K
84590 <1% 831 $5K
84550 <1% 3,736 $5K
86706 <1% 1,065 $5K
82670 <1% 322 $5K
82652 <1% 318 $5K
86200 <1% 755 $5K
95819 <1% 34 $5K
82785 <1% 561 $5K
P9047 Infusion, albumin (human), 25%, 50 ml <1% 42 $4K
93226 <1% 699 $4K
86593 <1% 1,707 $4K
99383 <1% 66 $4K
83690 <1% 32,140 $4K
11981 <1% 123 $4K
94010 <1% 287 $4K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 139 $4K
36430 <1% 21 $4K
86696 <1% 442 $4K
81003 <1% 23,069 $4K
84100 <1% 12,747 $4K
97163 <1% 110 $4K
84630 <1% 770 $4K
87625 <1% 244 $4K
84207 <1% 282 $4K
82180 <1% 867 $4K
0011A <1% 206 $4K
84134 <1% 445 $3K
82248 <1% 2,285 $3K
88300 <1% 496 $3K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 2,174 $3K
93880 <1% 38 $3K
84520 <1% 1,780 $3K
90474 <1% 676 $3K
82951 <1% 436 $3K
97012 <1% 537 $3K
82550 <1% 5,730 $3K
78227 <1% 12 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 266 $3K
83615 <1% 3,854 $3K
87045 <1% 803 $3K
87205 <1% 3,943 $3K
86695 <1% 442 $3K
95816 <1% 24 $3K
81002 <1% 7,087 $3K
P9016 Red blood cells, leukocytes reduced, each unit <1% 34 $3K
80164 <1% 789 $3K
85048 <1% 1,854 $3K
78264 <1% 12 $2K
73560 <1% 239 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 13 $2K
72197 <1% 12 $2K
85007 <1% 3,943 $2K
83002 <1% 255 $2K
97802 <1% 67 $2K
72156 <1% 12 $2K
74174 <1% 12 $2K
86360 <1% 90 $2K
82962 <1% 2,126 $2K
86141 <1% 436 $2K
80081 <1% 93 $2K
86430 <1% 769 $2K
29515 <1% 26 $2K
73552 <1% 785 $2K
86431 <1% 779 $2K
99386 <1% 29 $2K
93922 <1% 61 $2K
93975 <1% 14 $2K
77336 <1% 24 $2K
87328 <1% 290 $2K
90694 <1% 164 $2K
74183 <1% 13 $2K
82247 <1% 648 $2K
85379 <1% 9,150 $2K
87329 <1% 311 $2K
87040 <1% 6,873 $2K
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 1,052 $2K
90744 <1% 729 $2K
95910 <1% 12 $2K
99381 <1% 25 $2K
84153 <1% 163 $1K
82805 <1% 3,508 $1K
87210 <1% 8,758 $1K
87807 <1% 2,037 $1K
86800 <1% 167 $1K
82140 <1% 1,440 $1K
86160 <1% 117 $1K
83993 <1% 120 $1K
83013 <1% 39 $1K
89051 <1% 695 $1K
90716 <1% 134 $1K
83605 <1% 17,460 $1K
G0008 Administration of influenza virus vaccine <1% 1,009 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 65 $1K
86147 <1% 39 $1K
84484 <1% 31,068 $998.79
84165 <1% 195 $947.20
85018 <1% 1,132 $943.47
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 78 $936.55
86308 <1% 1,532 $925.78
86694 <1% 146 $917.73
85045 <1% 677 $883.87
73660 <1% 41 $883.22
87015 <1% 363 $862.18
90837 Psychotherapy session, about an hour <1% 16 $847.37
82947 <1% 387 $817.57
99204 Doctor's office visit, new patient (more involved) <1% 32 $763.44
73060 <1% 179 $755.15
96367 <1% 32 $749.43
83014 <1% 249 $740.02
83525 <1% 150 $737.09
80305 <1% 199 $732.10
84450 <1% 288 $722.31
87046 <1% 239 $715.74
70480 <1% 12 $662.19
93271 <1% 12 $661.26
69209 <1% 457 $658.48
86677 <1% 303 $655.22
93298 <1% 55 $653.57
84446 <1% 95 $651.16
82952 <1% 289 $646.48
0031A <1% 37 $632.39
84144 <1% 70 $628.72
93289 <1% 79 $628.00
84460 <1% 244 $625.90
82150 <1% 375 $621.79
31500 <1% 32 $618.71
88142 <1% 72 $549.07
90834 Psychotherapy session, about 45 minutes <1% 13 $525.88
84681 <1% 75 $521.71
0051A <1% 14 $489.39
0071A <1% 26 $457.23
94618 <1% 28 $456.12
76820 <1% 409 $454.98
12001 <1% 2,410 $450.83
J7030 Infusion, normal saline solution , 1000 cc <1% 40,793 $446.82
29125 <1% 222 $443.41
72220 <1% 24 $432.80
83520 <1% 2,060 $429.44
99203 Doctor's office visit, new patient (routine) <1% 20 $428.07
0003A <1% 19 $424.65
90674 <1% 15 $420.96
86708 <1% 63 $418.65
12011 <1% 1,188 $413.18
82533 <1% 55 $404.74
73522 <1% 13 $401.10
82677 <1% 28 $396.79
82945 <1% 283 $396.42
12002 <1% 983 $385.23
90662 <1% 108 $377.91
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 768 $358.23
A9270 Non-covered item or service <1% 3,557 $353.00
92610 <1% 12 $347.27
98960 <1% 16 $342.08
85660 <1% 126 $324.44
84445 <1% 12 $319.60
87563 <1% 31 $319.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 829 $308.18
84145 <1% 1,667 $306.71
82010 <1% 2,635 $303.55
90653 <1% 19 $288.41
98926 <1% 1,840 $282.28
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 1,624 $273.60
88112 <1% 28 $258.67
87521 Neg quan hep c or qual rna <1% 12 $256.16
82731 <1% 54 $255.42
86336 <1% 28 $254.51
94729 <1% 1,885 $252.00
86337 <1% 27 $245.26
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 7,333 $239.55
88312 <1% 189 $224.38
84132 <1% 429 $217.65
82040 <1% 189 $213.96
86618 <1% 25 $205.77
80178 <1% 86 $201.20
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 36,187 $200.21
82525 <1% 26 $177.17
84436 <1% 99 $176.05
86036 <1% 14 $146.65
86920 <1% 27 $146.59
73000 <1% 15 $145.44
82627 <1% 15 $135.86
98927 <1% 2,265 $135.53
98928 <1% 1,150 $134.47
51798 <1% 240 $134.08
82553 <1% 2,276 $126.90
86231 <1% 25 $125.55
Q0114 Fern test <1% 25 $119.00
73620 <1% 14 $118.34
80197 <1% 22 $113.08
87324 <1% 36 $110.19
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 38,636 $109.23
88311 <1% 152 $100.68
97018 <1% 41 $96.66
G0010 Administration of hepatitis b vaccine <1% 14 $91.98
90473 <1% 50 $87.84
86787 <1% 14 $87.12
97113 <1% 108 $86.62
J7120 Ringers lactate infusion, up to 1000 cc <1% 22,139 $85.27
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,057 $82.32
98925 <1% 198 $81.07
70360 <1% 38 $76.39
76937 <1% 1,308 $76.30
86015 <1% 14 $71.79
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 12,862 $69.95
70030 <1% 12 $67.98
80069 <1% 19 $62.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 13,833 $62.62
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 13,127 $61.56
90715 <1% 7,913 $61.07
J1170 Injection, hydromorphone, up to 4 mg <1% 14,357 $58.77
87106 <1% 15 $57.79
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 8,322 $56.60
87101 <1% 30 $54.53
87075 <1% 62 $53.71
85014 <1% 58 $43.47
J0690 Injection, cefazolin sodium, 500 mg <1% 8,934 $41.59
87220 <1% 31 $36.71
88302 <1% 41 $32.38
J2550 Injection, promethazine hcl, up to 50 mg <1% 3,242 $32.25
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 585 $31.22
96376 <1% 6,827 $24.80
J3480 Injection, potassium chloride, per 2 meq <1% 1,299 $23.82
J1644 Injection, heparin sodium, per 1000 units <1% 3,089 $23.01
J1790 Injection, droperidol, up to 5 mg <1% 546 $22.36
J3360 Injection, diazepam, up to 5 mg <1% 1,000 $17.21
80177 <1% 12 $16.12
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 1,456 $15.56
94664 <1% 544 $15.32
J2704 Injection, propofol, 10 mg <1% 25,485 $13.58
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 9,224 $12.76
85384 <1% 13 $12.10
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 16 $8.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 15,046 $8.22
J1920 Injection, labetalol hydrochloride, 5 mg <1% 108 $7.42
J3010 Injection, fentanyl citrate, 0.1 mg <1% 21,452 $7.08
82800 <1% 162 $6.14
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,365 $5.75
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,989 $5.47
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 2,756 $4.49
J8540 Dexamethasone, oral, 0.25 mg <1% 373 $3.55
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 182 $3.16
82272 <1% 24 $2.15
J1836 Injection, metronidazole, 10 mg <1% 52 $2.03
J7050 Infusion, normal saline solution, 250 cc <1% 5,603 $0.54
36416 <1% 287 $0.04
J3490 Unclassified drugs <1% 5,064 $0.01
90710 0% 222 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 769 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 3,098 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 2,639 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 3,298 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 2,456 $0.00
90700 0% 314 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 774 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 861 $0.00
90648 0% 474 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 902 $0.00
77062 0% 84 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 0% 59 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 371 $0.00
C1758 Catheter, ureteral 0% 699 $0.00
98929 0% 308 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 3,162 $0.00
90633 0% 1,246 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 997 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 41 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 2,273 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 339 $0.00
36600 0% 141 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 0% 289 $0.00
99152 0% 394 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 38 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 508 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 293 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 383 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 613 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 192 $0.00
A4312 Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone 0% 66 $0.00
90681 0% 153 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 141 $0.00
90685 0% 94 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 93 $0.00
Q0177 Hydroxyzine pamoate, 25 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 0% 451 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 312 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 0% 137 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 133 $0.00
C1729 Catheter, drainage 0% 81 $0.00
64495 0% 102 $0.00
76000 0% 29 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 193 $0.00
82075 0% 96 $0.00
C1776 Joint device (implantable) 0% 93 $0.00
76942 0% 14 $0.00
90707 0% 136 $0.00
64447 0% 25 $0.00
90461 0% 45 $0.00
77002 0% 12 $0.00
90714 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 190 $0.00
J7510 Prednisolone oral, per 5 mg 0% 13 $0.00
Q0169 Promethazine hydrochloride, 12.5 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 0% 22 $0.00
90713 0% 15 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 12 $0.00
16020 0% 27 $0.00
94645 0% 15 $0.00
91300 0% 14 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 25 $0.00
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 0% 12 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 19 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 630 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 2,800 $0.00
90698 0% 1,163 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 12 $0.00
C1769 Guide wire 0% 1,664 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 1,286 $0.00
90680 0% 878 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 0% 134 $0.00
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 0% 1,727 $0.00
J1815 Injection, insulin, per 5 units 0% 1,241 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 1,596 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 1,503 $0.00
J2060 Injection, lorazepam, 2 mg 0% 4,769 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 111 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 205 $0.00
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 0% 420 $0.00
83986 0% 44 $0.00
95886 0% 363 $0.00
L3927 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf 0% 54 $0.00
99153 Mod sedat endo service >5yrs 0% 219 $0.00
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 0% 164 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 649 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 1,039 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 1,738 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 569 $0.00
90723 0% 258 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 1,336 $0.00
84270 0% 30 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 192 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 1,789 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 0% 52 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 164 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 70 $0.00
90632 0% 311 $0.00
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 0% 224 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 72 $0.00
94760 0% 201 $0.00
64484 0% 66 $0.00
A4648 Tissue marker, implantable, any type, each 0% 26 $0.00
G0453 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 0% 13 $0.00
64415 0% 38 $0.00
94644 0% 83 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 137 $0.00
64494 0% 104 $0.00
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 0% 74 $0.00
95870 0% 13 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 76 $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 0% 154 $0.00
74420 0% 15 $0.00
80320 0% 17 $0.00
80359 0% 30 $0.00
A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard 0% 14 $0.00
96368 0% 13 $0.00
90696 0% 13 $0.00
C1781 Mesh (implantable) 0% 26 $0.00
93270 0% 12 $0.00

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 officialALLORE, GARY (PRESIDENT)
Same official

Other billing entities under ALLORE, GARY

Full network →
ProviderLocationPaid
Mercy Health PartnersShelby, MI$8.01M
Mercy Health PartnersMuskegon, MI$2.39M
Mercy Health PartnersMuskegon, MI$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.