Medicaid Provider Spending

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

ASCENSION PROVIDENCE HOSPTIAL

NPI: 1912962978 · SOUTHFIELD, MI 48075 · Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician · NPI assigned 04/20/2006

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

Authorized official STARKEL, SARAH controls 20+ related entities in our dataset. Read more

$8.97M
Total Medicaid Paid
208,614
Total Claims
183,228
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTARKEL, SARAH (CREDENTIALING COORDINATOR)
NPI Enumeration Date04/20/2006

Related Entities

Other providers sharing the same authorized official: STARKEL, SARAH

ProviderCityStateTotal Paid
ASCENSION ST JOHN HOSPITAL DETROIT MI $41.79M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $4.97M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $3.45M
ASCENSION ST JOHN HOSPITAL SOUTHFIELD MI $3.01M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.88M
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $2.51M
ASCENSION ST JOHN HOSPITAL CHICAGO IL $2.29M
ASCENSION ST JOHN HOSPITAL DETROIT MI $981K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $879K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $475K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $225K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN SAINT CLAIR SHORES MI $70K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MADISON HEIGHTS MI $67K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $53K
ASCENSION EASTWOOD BEHAVIORAL HEALTH NOVI MI $47K
ASCENSION EASTWOOD BEHAVIORAL HEALTH SAINT CLAIR SHORES MI $45K
ASCENSION PROVIDENCE HOSPITAL SOUTHFIELD MI $15K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN HOWELL MI $12K
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN MACOMB MI $9K
ASCENSION PROVIDENCE ROCHESTER HOSPITAL ROCHESTER MI $761.29

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,910 $1.04M
2019 15,936 $1.16M
2020 17,117 $1.10M
2021 22,424 $1.40M
2022 40,921 $1.54M
2023 60,386 $1.65M
2024 37,920 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,046 2,024 $1.52M
59426 1,732 1,716 $1.42M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12,981 11,071 $659K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,057 5,022 $443K
59514 526 523 $439K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,173 5,994 $403K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,820 4,803 $384K
59430 1,820 1,811 $381K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,659 7,297 $349K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,609 6,850 $333K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,867 2,863 $256K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,698 2,673 $239K
59025 Fetal non-stress test 8,196 2,867 $206K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,086 3,060 $203K
76801 3,306 3,195 $190K
76820 7,867 3,237 $168K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 177 177 $165K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,535 3,196 $164K
99385 1,681 1,675 $163K
76818 2,406 1,269 $123K
99386 767 766 $89K
54150 1,292 1,289 $74K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 4,442 4,424 $69K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,017 1,016 $60K
90715 1,479 1,465 $49K
99215 Prolong outpt/office vis 474 445 $46K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,746 1,739 $42K
99205 Prolong outpt/office vis 352 347 $39K
59425 79 79 $38K
81025 5,329 5,206 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,074 2,782 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,353 2,309 $23K
76819 Fetal biophysical profile; without non-stress testing 661 448 $21K
76830 Ultrasound, transvaginal 235 231 $16K
76825 159 154 $16K
58300 246 244 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 388 357 $12K
99283 Emergency department visit for the evaluation and management, moderate severity 284 263 $10K
99459 753 752 $10K
99284 Emergency department visit for the evaluation and management, high severity 136 131 $10K
99232 Subsequent hospital care, per day, moderate complexity 236 77 $10K
99219 129 124 $9K
57454 80 80 $7K
76813 106 102 $6K
76827 172 167 $5K
90686 216 216 $4K
99218 53 50 $3K
90656 144 142 $3K
58301 39 39 $2K
99222 Initial hospital care, per day, moderate complexity 27 26 $2K
36415 Collection of venous blood by venipuncture 571 564 $1K
93325 181 177 $1K
G9002 Coordinated care fee, maintenance rate 184 176 $890.09
58100 13 13 $697.17
99282 Emergency department visit for the evaluation and management, low to moderate severity 26 26 $637.34
90674 18 18 $585.70
90661 17 17 $502.29
99231 Subsequent hospital care, per day, straightforward or low complexity 15 12 $336.45
81000 99 99 $317.39
87210 61 60 $273.94
81003 73 71 $133.09
81002 26 26 $75.16
3725F 6,176 6,131 $0.00
0502F 2,842 1,909 $0.00
3078F 9,714 8,819 $0.00
3077F 786 760 $0.00
1159F 8,741 7,815 $0.00
1160F 8,773 7,844 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 16 16 $0.00
1036F 15,543 13,704 $0.00
3074F 10,487 9,532 $0.00
1035F 325 304 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,770 9,627 $0.00
3079F 2,345 2,247 $0.00
3008F 12,656 11,381 $0.00
3080F 622 606 $0.00
1034F 1,983 1,799 $0.00
1126F 1,037 981 $0.00
3075F 1,420 1,357 $0.00
0500F 265 242 $0.00
0501F 93 77 $0.00
0503F 26 25 $0.00