Agency
Lakeland Hospitals at Niles and ST Joseph, INC
Lakeland Hospitals at Niles and ST Joseph, INC was paid $3.33M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 57% of everything it billed.
33Billing provider infoLAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
BENTON HARBOR, MI 49022
BENTON HARBOR, MI 49022
33aNPI1912094525assigned 10/06/2006
33bProvider typeHome Health Agency
28Total paid$3.33M
24GClaims43,727
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Michigan
Rank by total paid#85 of 328
Median peer was paid$697K
This provider vs. median4.8×
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.
Entity ProliferationAuthorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,316 | $485K | |
| 2019 | 6,306 | $445K | |
| 2020 | 6,590 | $575K | |
| 2021 | 6,917 | $504K | |
| 2022 | 7,340 | $497K | |
| 2023 | 6,038 | $470K | |
| 2024incomplete | 4,220 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 57% | 24,106 | 5,979 | $1.88M |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 20% | 8,584 | 2,427 | $680K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 17% | 7,472 | 2,484 | $576K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 5.7% | 2,879 | 996 | $190K |
| A6213 | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | <1% | 24 | 13 | $324.49 |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 133 | 84 | $170.26 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 302 | 194 | $29.15 |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 68 | 40 | $18.55 |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 65 | 52 | $6.60 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 35 | 29 | $1.08 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 41 | 38 | $0.00 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 0% | 18 | 14 | $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 officialCOX, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Spectrum Health Hospitals | Grand Rapids, MI | $243.22M |
| Oakwood Healthcare, INC. | Dearborn, MI | $165.61M |
| William Beaumont Hospital | Royal Oak, MI | $162.64M |
| William Beaumont Hospital | Troy, MI | $84.88M |
| Lakeland Hospitals at Niles and ST Joseph, INC | Saint Joseph, MI | $78.22M |
| Botsford General Hospital | Farmington Hills, MI | $72.21M |
| William Beaumont Hospital | Grosse Pointe, MI | $61.49M |
| Oakwood Healthcare, INC. | Wayne, MI | $55.44M |
| Oakwood Healthcare, INC. | Taylor, MI | $50.28M |
| Oakwood Healthcare, INC. | Trenton, MI | $23.26M |
| Spectrum Health United | Greenville, MI | $20.99M |
| Mecosta County Medical Center | Big Rapids, MI | $19.50M |
| Pennock Hospital | Hastings, MI | $15.24M |
| Reed City Hospital Corporation | Reed City, MI | $15.02M |
| Zeeland Community Hospital | Zeeland, MI | $10.12M |
| Lakeland Community Hospital Watervliet | Watervliet, MI | $9.85M |
| Lakeland Community Hospital Watervliet | Niles, MI | $9.05M |
| Visiting Nurse Services of Western Michigan | Grand Rapids, MI | $4.54M |
| Banner Mesa Surgery Center LLC | Mesa, AZ | $2.80M |
| Lakeland Community Hospital Watervliet | Watervliet, MI | $2.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.