NPI: 1861800674 · HART, MI 49420 · Primary Care Clinic/Center · NPI assigned 07/24/2014
Authorized official SELLA, JOHN controls 14+ related entities in our dataset. Read more
| Authorized Official | SELLA, JOHN (PESIDENT) |
| Parent Organization | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| NPI Enumeration Date | 07/24/2014 |
Other providers sharing the same authorized official: SELLA, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | FREMONT | MI | $3.34M |
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | FREMONT | MI | $3.15M |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | LUDINGTON | MI | $2.24M |
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | FREMONT | MI | $1.78M |
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | NEWAYGO | MI | $1.75M |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | GRANT | MI | $1.42M |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | LUDINGTON | MI | $1.41M |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | LUDINGTON | MI | $1.17M |
| PENNOCK HOSPITAL | LAKE ODESSA | MI | $1.04M |
| PENNOCK HOSPITAL | HASTINGS | MI | $760K |
| PENNOCK HOSPITAL | HASTINGS | MI | $714K |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | HESPERIA | MI | $623K |
| PENNOCK HOSPITAL | WAYLAND | MI | $532K |
| PENNOCK HOSPITAL | MIDDLEVILLE | MI | $384K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,375 | $79K |
| 2019 | 2,035 | $65K |
| 2020 | 2,262 | $65K |
| 2021 | 3,460 | $102K |
| 2022 | 3,292 | $104K |
| 2023 | 3,274 | $111K |
| 2024 | 2,714 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 10,015 | 8,738 | $563K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,899 | 3,668 | $38K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,508 | 3,250 | $20K |
| 90686 | 634 | 633 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 670 | 659 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 178 | 178 | $654.40 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 15 | $320.79 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14 | 14 | $241.17 |
| 96127 | 314 | 231 | $179.66 | |
| 90656 | 13 | 13 | $153.10 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 79 | 76 | $136.90 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 24 | 24 | $33.38 |
| 87428 | 15 | 15 | $25.62 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 34 | 34 | $0.00 |