Medicaid Provider Spending

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

ST JOSEPH MERCY HOSPITAL

NPI: 1841318714 · YPSILANTI, MI 48197 · Psychiatry Physician · NPI assigned 03/27/2007

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

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

$653K
Total Medicaid Paid
11,579
Total Claims
6,497
Beneficiaries
11
Codes Billed
2020-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialGUSHO, MICHAEL (REGIONAL CFO TRINITY FL GA MI OH)
NPI Enumeration Date03/27/2007

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
TRINITY HEALTH-MICHIGAN ST MARY MERCY HOSPITAL DIVISION LIVONIA MI $27.75M
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
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
2020 1,610 $68K
2021 3,383 $184K
2022 4,028 $248K
2023 2,558 $152K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 7,166 3,001 $381K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,179 1,102 $80K
99223 Prolong inpt eval add15 m 669 648 $60K
90837 Psychotherapy, 53 minutes with patient 712 365 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 707 676 $31K
99233 Prolong inpt eval add15 m 536 290 $17K
90791 Psychiatric diagnostic evaluation 157 153 $15K
90832 Psychotherapy, 30 minutes with patient 208 160 $7K
99232 Subsequent hospital care, per day, moderate complexity 195 65 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 38 25 $608.44
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $271.44