Ascension Michigan-Cmg
Ascension Michigan-Cmg was paid $14.24M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
CLINTON TOWNSHIP, MI 48038
Next to other Family Medicine Physician providers in Michigan
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 47,293 | $1.33M | |
| 2019 | 51,980 | $1.61M | |
| 2020 | 47,310 | $1.46M | |
| 2021 | 87,934 | $1.94M | |
| 2022 | 134,541 | $2.12M | |
| 2023 | 146,735 | $2.86M | |
| 2024incomplete | 120,693 | $2.91M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 69,366 | 62,737 | $3.70M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 39,463 | 37,742 | $2.87M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 13,874 | 13,862 | $1.05M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 13,665 | 12,866 | $952K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 10,153 | 10,145 | $749K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 25,572 | 25,508 | $613K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 13,304 | 3,864 | $552K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 5,973 | 5,967 | $446K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 4,301 | 4,259 | $373K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.5% | 4,751 | 4,681 | $361K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 2,489 | 2,392 | $270K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 2,508 | 2,501 | $250K |
151 more codes
| 99381 | 1.5% | 2,470 | $215K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 2,817 | $191K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 2,336 | $177K |
| 99385 | 1.1% | 1,555 | $154K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 2,394 | $149K |
| 99383 | 1.0% | 1,529 | $143K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,797 | $103K |
| 99382 | <1% | 900 | $84K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,042 | $78K |
| 99386 | <1% | 579 | $70K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,420 | $56K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 611 | $54K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,816 | $54K |
| 83655 | <1% | 4,766 | $53K | |
| 99384 | <1% | 482 | $49K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,111 | $47K |
| 87428 | <1% | 1,068 | $30K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 523 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,302 | $19K |
| 93000 | <1% | 2,525 | $19K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 171 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,303 | $18K |
| 99442 | <1% | 522 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,957 | $16K |
| 95251 | <1% | 855 | $14K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 662 | $14K |
| 90715 | <1% | 2,241 | $12K | |
| 85018 | <1% | 5,365 | $11K | |
| 90651 | <1% | 2,894 | $11K | |
| 96127 | <1% | 3,703 | $10K | |
| 82962 | <1% | 4,523 | $10K | |
| 90686 | <1% | 6,843 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,339 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,844 | $9K |
| 80061 | Lipid panel | <1% | 1,063 | $9K |
| 99177 | <1% | 4,491 | $7K | |
| 92551 | <1% | 1,070 | $7K | |
| 83037 | <1% | 1,150 | $7K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 111 | $7K |
| 87634 | <1% | 172 | $7K | |
| 94010 | <1% | 315 | $6K | |
| 81003 | <1% | 3,827 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 119 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 136 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 430 | $4K |
| D0190 | <1% | 239 | $4K | |
| 92558 | <1% | 1,380 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,415 | $3K |
| 81002 | <1% | 1,606 | $3K | |
| 99441 | <1% | 197 | $3K | |
| 73630 | <1% | 144 | $3K | |
| 90756 | <1% | 113 | $3K | |
| 99188 | <1% | 275 | $2K | |
| 81025 | <1% | 327 | $2K | |
| 90670 | <1% | 7,697 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | $1K |
| 99406 | <1% | 208 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 277 | $1K |
| 90656 | <1% | 716 | $1K | |
| 96161 | <1% | 715 | $1K | |
| 17110 | <1% | 19 | $1K | |
| 90621 | <1% | 147 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | $773.30 |
| 90734 | <1% | 1,951 | $644.25 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $620.40 |
| 90682 | <1% | 12 | $559.52 | |
| 90716 | <1% | 2,791 | $558.66 | |
| 90674 | <1% | 39 | $514.41 | |
| 96160 | <1% | 45 | $496.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 349 | $465.90 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 26 | $396.39 |
| 90707 | <1% | 2,751 | $385.75 | |
| 96380 | <1% | 90 | $299.39 | |
| 90688 | <1% | 17 | $287.55 | |
| 99443 | <1% | 12 | $273.22 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 28 | $242.20 |
| 90662 | <1% | 129 | $226.43 | |
| 98966 | <1% | 546 | $204.19 | |
| 90620 | <1% | 903 | $128.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 15 | $117.96 |
| G0008 | Administration of influenza virus vaccine | <1% | 326 | $95.17 |
| 94150 | <1% | 30 | $89.64 | |
| 99497 | <1% | 31 | $67.97 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 135 | $67.05 |
| 36416 | <1% | 19 | $65.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 87 | $62.24 |
| 90474 | <1% | 12 | $36.24 | |
| 90461 | <1% | 14,479 | $21.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 15 | $8.28 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 15 | $5.92 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 29 | $1.71 |
| 3008F | <1% | 40,571 | $1.02 | |
| 3074F | <1% | 30,764 | $0.51 | |
| 3078F | <1% | 25,168 | $0.51 | |
| 1159F | <1% | 26,328 | $0.51 | |
| 99499 | <1% | 155 | $0.37 | |
| 3048F | 0% | 461 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 392 | $0.00 |
| 90696 | 0% | 2,311 | $0.00 | |
| 90723 | 0% | 2,401 | $0.00 | |
| 1036F | 0% | 25,774 | $0.00 | |
| 1035F | 0% | 1,144 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 73 | $0.00 |
| 1000F | 0% | 3,118 | $0.00 | |
| 90697 | 0% | 2,045 | $0.00 | |
| 90680 | 0% | 6,353 | $0.00 | |
| 3075F | 0% | 5,533 | $0.00 | |
| 1125F | 0% | 4,636 | $0.00 | |
| 90744 | 0% | 2,353 | $0.00 | |
| 2023F | 0% | 312 | $0.00 | |
| 3079F | 0% | 11,850 | $0.00 | |
| 90698 | 0% | 2,999 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,759 | $0.00 |
| 4010F | 0% | 540 | $0.00 | |
| 90647 | 0% | 3,048 | $0.00 | |
| 1034F | 0% | 4,639 | $0.00 | |
| 90619 | 0% | 946 | $0.00 | |
| 3080F | 0% | 1,786 | $0.00 | |
| 3044F | 0% | 2,094 | $0.00 | |
| 1126F | 0% | 9,566 | $0.00 | |
| 3052F | 0% | 660 | $0.00 | |
| 1123F | 0% | 106 | $0.00 | |
| 3061F | 0% | 184 | $0.00 | |
| 94760 | 0% | 52 | $0.00 | |
| 90381 | 0% | 59 | $0.00 | |
| 90700 | 0% | 2,750 | $0.00 | |
| 90713 | 0% | 39 | $0.00 | |
| 3051F | 0% | 1,139 | $0.00 | |
| 90633 | 0% | 5,351 | $0.00 | |
| 3045F | 0% | 268 | $0.00 | |
| 3077F | 0% | 2,364 | $0.00 | |
| 3046F | 0% | 1,450 | $0.00 | |
| 90710 | 0% | 2,349 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 51 | $0.00 |
| 3511F | 0% | 980 | $0.00 | |
| 3725F | 0% | 10,520 | $0.00 | |
| 3288F | 0% | 778 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,365 | $0.00 |
| 90672 | 0% | 129 | $0.00 | |
| 2022F | 0% | 39 | $0.00 | |
| 90648 | 0% | 664 | $0.00 | |
| 2028F | 0% | 79 | $0.00 | |
| 1160F | 0% | 29,926 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 137 | $0.00 |
| 90685 | 0% | 384 | $0.00 | |
| 90671 | 0% | 2,062 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 205 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 135 | $0.00 |
| G9002 | Coordinated care fee, maintenance rate | 0% | 17 | $0.00 |
| 99173 | 0% | 112 | $0.00 | |
| 90380 | 0% | 43 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Ascension Medical Group Michigan | Warren, MI | $4.98M |
| Ascension Medical Group Michigan | Harper Woods, MI | $4.10M |
| Ascension Medical Group Michigan | Warren, MI | $3.78M |
| Ascension Medical Group Michigan | Warren, MI | $3.46M |
| Ascension ST. John Hospital | Saint Clair Shores, MI | $2.02M |
| Seton Health Corporation of Southeastern Michigan | Clinton Township, MI | $1.84M |
| Ascension River District Hospital | East China, MI | $1.70M |
| Ascension Medical Group Michigan | Detroit, MI | $829K |
| Ascension Medical Group Michigan | Saint Clair Shores, MI | $763K |
| Ascension Medical Group Michigan | Novi, MI | $505K |
| Ascension Medical Group Michigan | Clinton Township, MI | $269K |
| Seton Health Corporation of Southeastern Michigan | Macomb, MI | $149K |
| Hartford Orthopaedic Plastic & Hand Surgeons, INC. | Glastonbury, CT | $96K |
| Ascension Medical Group Michigan | Warren, MI | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.