W.A. FOOTE MEMORIAL HOSPITAL, INC
NPI: 1912445677
· JACKSON, MI 49201
· 2084P0800X
$729K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,670 |
$106K |
| 2019 |
1,958 |
$68K |
| 2020 |
1,468 |
$70K |
| 2021 |
2,016 |
$116K |
| 2022 |
2,828 |
$111K |
| 2023 |
3,566 |
$136K |
| 2024 |
3,116 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
8,746 |
8,382 |
$455K |
| 99213 |
|
3,922 |
3,824 |
$128K |
| 90792 |
|
1,146 |
1,083 |
$112K |
| 99215 |
Prolong outpt/office vis |
168 |
161 |
$15K |
| 99205 |
Prolong outpt/office vis |
51 |
51 |
$6K |
| 99443 |
|
101 |
94 |
$5K |
| 99204 |
|
56 |
56 |
$4K |
| 90791 |
|
15 |
13 |
$1K |
| 99308 |
|
30 |
30 |
$1K |
| G0425 |
Inpt/ed teleconsult30 |
16 |
15 |
$950.25 |
| 99232 |
|
13 |
12 |
$270.93 |
| G2211 |
Complex e/m visit add on |
266 |
254 |
$22.41 |
| 3353F |
|
1,295 |
1,260 |
$0.00 |
| 3352F |
|
819 |
806 |
$0.00 |
| 3354F |
|
224 |
216 |
$0.00 |
| 3351F |
|
754 |
745 |
$0.00 |