Medicaid Provider Spending

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

W.A. FOOTE MEMORIAL HOSPITAL, INC

NPI: 1891232740 · JACKSON, MI 49201 · Pediatrics Physician · NPI assigned 01/30/2017

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

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$1.62M
Total Medicaid Paid
32,705
Total Claims
30,667
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, MARK (SVP, CMO)
Parent OrganizationHENRY FORD ALLEGIANCE HEALTH GROUP
NPI Enumeration Date01/30/2017

Related Entities

Other providers sharing the same authorized official: SMITH, MARK

ProviderCityStateTotal Paid
HUNTINGTON CARE, LLC ROSEVILLE CA $7.66M
HENRY FORD HEALTH SYSTEM DETROIT MI $5.17M
HENRY FORD HEALTH SYSTEM DETROIT MI $3.37M
W. A. FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $2.83M
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $2.38M
HAND IN HAND BETTENDORF IA $1.53M
DRS. MARK & STEVEN SMITH GREENEVILLE TN $1.17M
HENRY FORD WYANDOTTE HOSPITAL ALLEN PARK MI $803K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $645K
WA FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $600K
HENRY FORD WYANDOTTE HOSPITAL BROWNSTOWN TWP MI $322K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $311K
HENRY FORD WYANDOTTE HOSPITAL TRENTON MI $294K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $278K
T H SMITH OD AND THOMAS K SMITH OD PC MC KENZIE TN $263K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $237K
MARK A. SMITH MD INC. AKRON OH $124K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $112K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $104K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,288 $189K
2019 4,387 $191K
2020 4,664 $199K
2021 4,798 $222K
2022 4,806 $240K
2023 4,640 $276K
2024 5,122 $304K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,969 6,471 $330K
99460 3,574 3,564 $193K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,154 3,027 $166K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,569 2,568 $162K
99238 Hospital discharge day management, 30 minutes or less 3,490 3,462 $142K
54150 2,247 2,244 $128K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,522 1,459 $112K
99239 Hospital discharge day management, more than 30 minutes 1,684 1,675 $104K
99462 2,750 2,151 $65K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 935 935 $60K
99464 1,340 1,340 $56K
99232 Subsequent hospital care, per day, moderate complexity 619 247 $26K
99221 303 302 $16K
99231 Subsequent hospital care, per day, straightforward or low complexity 657 343 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 159 159 $12K
99222 Initial hospital care, per day, moderate complexity 149 148 $12K
99381 226 226 $10K
99223 Prolong inpt eval add15 m 56 56 $6K
99477 16 16 $3K
99233 Prolong inpt eval add15 m 19 12 $1K
99465 12 12 $985.93
99383 13 13 $870.05
3078F 62 62 $0.00
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) 70 67 $0.00
98966 14 14 $0.00
3074F 79 77 $0.00
G9007 Coordinated care fee, scheduled team conference 17 17 $0.00