Physician
Ascension ST John Hospital
Ascension ST John Hospital was paid $41.79M by Medicaid between Jan 2018 and Dec 2024, across 201 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 10% of everything it billed.
33Billing provider infoASCENSION ST JOHN HOSPITAL
DETROIT, MI 48236
DETROIT, MI 48236
33aNPI1912965088assigned 05/01/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$41.79M
24GClaims1,159,974
24DCodes billed201
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#1 of 173
Median peer was paid$66K
This provider vs. median635×
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 STARKEL, SARAH 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 | 100,810 | $5.07M | |
| 2019 | 103,599 | $5.22M | |
| 2020 | 92,517 | $5.28M | |
| 2021 | 143,498 | $5.95M | |
| 2022 | 235,177 | $7.14M | |
| 2023 | 297,253 | $7.18M | |
| 2024incomplete | 187,120 | $5.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 10% | 12,740 | 1,937 | $4.23M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.7% | 67,632 | 63,613 | $3.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 83,418 | 77,771 | $3.08M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 64,526 | 19,786 | $2.64M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 6.0% | 7,440 | 778 | $2.50M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.5% | 3,068 | 3,032 | $2.31M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.9% | 19,707 | 2,198 | $2.03M |
| 99223 | Prolong inpt eval add15 m | 4.5% | 17,728 | 14,968 | $1.90M |
| 99222 | Initial hospital care, per day, moderate complexity | 3.8% | 21,424 | 18,136 | $1.60M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.7% | 15,560 | 2,979 | $1.53M |
| 99468 | 3.4% | 1,811 | 1,784 | $1.40M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 24,644 | 22,839 | $1.15M |
189 more codes
| 59514 | 2.8% | 1,356 | $1.15M | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 2.6% | 18,325 | $1.10M |
| 99204 | Doctor's office visit, new patient (more involved) | 2.5% | 13,072 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 17,548 | $931K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 18,826 | $788K |
| 59426 | 1.8% | 1,123 | $759K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.6% | 8,847 | $684K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 10,675 | $514K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 20,618 | $476K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 8,138 | $458K |
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 8,247 | $425K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,786 | $400K |
| 99460 | <1% | 6,621 | $362K | |
| 99205 | Prolong outpt/office vis | <1% | 3,463 | $355K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,862 | $317K |
| 59025 | Fetal non-stress test | <1% | 13,656 | $289K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,362 | $266K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 9,380 | $262K |
| 59430 | <1% | 1,495 | $231K | |
| 99464 | <1% | 4,559 | $193K | |
| 99471 | <1% | 243 | $175K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,008 | $150K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 6,229 | $143K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 2,809 | $126K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,191 | $125K |
| 54150 | <1% | 2,103 | $121K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,947 | $121K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 5,042 | $100K |
| 99462 | <1% | 4,090 | $97K | |
| 99385 | <1% | 1,564 | $97K | |
| 99221 | <1% | 1,720 | $92K | |
| 59425 | <1% | 208 | $83K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,335 | $73K |
| 76801 | <1% | 2,393 | $72K | |
| 76820 | <1% | 4,589 | $71K | |
| 99386 | <1% | 898 | $70K | |
| 99219 | <1% | 829 | $61K | |
| 99235 | <1% | 640 | $59K | |
| 99477 | <1% | 199 | $57K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,451 | $54K |
| 99220 | <1% | 533 | $51K | |
| 99465 | <1% | 607 | $49K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 400 | $49K |
| 95819 | <1% | 1,107 | $37K | |
| 93320 | <1% | 2,995 | $36K | |
| 99496 | <1% | 354 | $34K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 442 | $32K |
| 99442 | <1% | 1,184 | $32K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,013 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,805 | $27K |
| 99495 | <1% | 344 | $25K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,318 | $24K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 851 | $24K |
| 76818 | <1% | 705 | $24K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,555 | $22K |
| 99383 | <1% | 299 | $21K | |
| 95251 | <1% | 1,022 | $19K | |
| 20610 | <1% | 563 | $19K | |
| 93304 | <1% | 787 | $19K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 771 | $19K |
| 99236 | Prolong inpt eval add15 m | <1% | 133 | $17K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 2,070 | $15K |
| 99217 | <1% | 373 | $14K | |
| 95720 | <1% | 97 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,139 | $12K |
| 93325 | <1% | 3,799 | $11K | |
| 99381 | <1% | 163 | $11K | |
| 99443 | <1% | 338 | $10K | |
| 93298 | <1% | 667 | $10K | |
| 93000 | <1% | 1,212 | $9K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 113 | $8K |
| 73630 | <1% | 954 | $6K | |
| 99384 | <1% | 81 | $6K | |
| 99463 | <1% | 85 | $5K | |
| 73564 | <1% | 306 | $5K | |
| 93458 | <1% | 28 | $4K | |
| 99406 | <1% | 703 | $4K | |
| 82962 | <1% | 1,913 | $4K | |
| 93321 | <1% | 912 | $4K | |
| 99382 | <1% | 67 | $4K | |
| 73610 | <1% | 396 | $3K | |
| 90670 | <1% | 1,142 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 71 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 108 | $3K |
| 77073 | <1% | 173 | $3K | |
| 73110 | <1% | 222 | $3K | |
| 93016 | <1% | 210 | $3K | |
| 93018 | <1% | 311 | $3K | |
| 73030 | <1% | 185 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 25 | $2K |
| 99441 | <1% | 193 | $2K | |
| 98966 | <1% | 2,286 | $2K | |
| 99459 | <1% | 280 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 30 | $1K |
| 90686 | <1% | 1,016 | $1K | |
| 99356 | <1% | 25 | $1K | |
| 99292 | <1% | 16 | $1K | |
| 73590 | <1% | 177 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 81 | $955.44 |
| 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) | <1% | 463 | $922.91 |
| 90677 | <1% | 194 | $894.84 | |
| 99284 | Emergency room visit (serious) | <1% | 14 | $873.83 |
| 76830 | Ultrasound, transvaginal | <1% | 28 | $705.01 |
| 93272 | <1% | 51 | $698.09 | |
| 90651 | <1% | 29 | $688.32 | |
| 92551 | <1% | 203 | $646.46 | |
| 99243 | <1% | 12 | $637.79 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 108 | $632.10 |
| 73080 | <1% | 63 | $587.08 | |
| 73502 | <1% | 44 | $501.92 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 93 | $493.90 |
| 99000 | <1% | 682 | $465.33 | |
| 92228 | <1% | 45 | $436.24 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 15 | $321.26 |
| 87428 | <1% | 15 | $316.40 | |
| 94010 | <1% | 100 | $312.85 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $252.84 |
| D0190 | <1% | 89 | $248.67 | |
| 36416 | <1% | 93 | $235.52 | |
| 99152 | <1% | 39 | $210.68 | |
| 51701 | <1% | 13 | $195.40 | |
| 99188 | <1% | 30 | $181.19 | |
| 97802 | <1% | 102 | $180.91 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $179.75 |
| 90715 | <1% | 44 | $152.93 | |
| 90674 | <1% | 15 | $142.08 | |
| 81002 | <1% | 124 | $102.22 | |
| 73090 | <1% | 14 | $97.28 | |
| 90656 | <1% | 46 | $89.40 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $87.21 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 32 | $85.16 |
| 81025 | <1% | 45 | $80.84 | |
| 95117 | <1% | 21 | $60.66 | |
| 81003 | <1% | 27 | $47.57 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 13 | $29.42 |
| 86580 | <1% | 27 | $26.31 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 161 | $17.45 |
| 96127 | <1% | 14 | $5.54 | |
| 97803 | <1% | 12 | $5.00 | |
| 99499 | <1% | 242 | $0.72 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,012 | $0.57 |
| 1160F | <1% | 56,810 | $0.21 | |
| 1159F | <1% | 54,555 | $0.21 | |
| 3008F | <1% | 68,798 | $0.21 | |
| 3079F | <1% | 16,191 | $0.21 | |
| 1036F | <1% | 50,322 | $0.21 | |
| 3074F | <1% | 42,220 | $0.21 | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 52 | $0.05 |
| 3046F | 0% | 1,723 | $0.00 | |
| 3051F | 0% | 1,068 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 1,354 | $0.00 |
| 4004F | 0% | 144 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 9,007 | $0.00 |
| 3078F | 0% | 37,143 | $0.00 | |
| 3288F | 0% | 7,500 | $0.00 | |
| 3077F | 0% | 8,577 | $0.00 | |
| 3045F | 0% | 57 | $0.00 | |
| 2028F | 0% | 465 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 3,617 | $0.00 |
| 3725F | 0% | 29,832 | $0.00 | |
| 90633 | 0% | 277 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 262 | $0.00 |
| 90700 | 0% | 25 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 0502F | 0% | 164 | $0.00 | |
| 91300 | 0% | 32 | $0.00 | |
| 99173 | 0% | 158 | $0.00 | |
| 90707 | 0% | 41 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90710 | 0% | 21 | $0.00 | |
| 90461 | 0% | 54 | $0.00 | |
| 90647 | 0% | 786 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 35,609 | $0.00 |
| 1035F | 0% | 1,154 | $0.00 | |
| 3080F | 0% | 6,763 | $0.00 | |
| 3075F | 0% | 9,368 | $0.00 | |
| 90716 | 0% | 30 | $0.00 | |
| 99024 | 0% | 4,056 | $0.00 | |
| 1126F | 0% | 54,258 | $0.00 | |
| 1034F | 0% | 9,668 | $0.00 | |
| 1125F | 0% | 11,896 | $0.00 | |
| 3044F | 0% | 2,895 | $0.00 | |
| 90680 | 0% | 507 | $0.00 | |
| 3052F | 0% | 865 | $0.00 | |
| 90723 | 0% | 818 | $0.00 | |
| 1111F | 0% | 256 | $0.00 | |
| 1000F | 0% | 165 | $0.00 | |
| 90696 | 0% | 20 | $0.00 | |
| 90697 | 0% | 28 | $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 officialSTARKEL, SARAH (MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.