Medicaid Provider Spending

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

BOTSFORD GENERAL HOSPITAL

NPI: 1912335373 · FARMINGTON HILLS, MI 48336 · Internal Medicine Physician · NPI assigned 10/23/2013

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

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$160K
Total Medicaid Paid
4,572
Total Claims
4,246
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CFO)
Parent OrganizationBOTSFORD GENERAL HOSPITAL
NPI Enumeration Date10/23/2013

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal 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
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 393 $6K
2019 130 $3K
2020 81 $2K
2021 236 $8K
2022 728 $45K
2023 1,838 $76K
2024 1,166 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 941 910 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,357 1,212 $56K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 135 134 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 116 116 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 83 $8K
99222 Initial hospital care, per day, moderate complexity 66 63 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 78 77 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 68 26 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13 13 $38.96
G8510 Screening for depression is documented as negative, a follow-up plan is not required 642 611 $0.00
3074F 318 289 $0.00
G8432 Depression screening not documented, reason not given 418 397 $0.00
3079F 40 37 $0.00
3078F 297 278 $0.00