Medicaid Provider Spending

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

ASCENSION ST JOHN HOSPITAL

NPI: 1912965088 · DETROIT, MI 48236 · Obstetrics & Gynecology Physician · NPI assigned 05/01/2006

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

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

$41.79M
Total Medicaid Paid
1,159,974
Total Claims
972,767
Beneficiaries
201
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTARKEL, SARAH (MANAGER)
NPI Enumeration Date05/01/2006

Related Entities

Other providers sharing the same authorized official: STARKEL, SARAH

ProviderCityStateTotal Paid
ASCENSION PROVIDENCE HOSPTIAL SOUTHFIELD MI $8.97M
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 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
2024 187,120 $5.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 12,740 1,937 $4.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,632 63,613 $3.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83,418 77,771 $3.08M
99232 Subsequent hospital care, per day, moderate complexity 64,526 19,786 $2.64M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 7,440 778 $2.50M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3,068 3,032 $2.31M
99479 Subsequent intensive care, per day, very low birth weight infant 19,707 2,198 $2.03M
99223 Prolong inpt eval add15 m 17,728 14,968 $1.90M
99222 Initial hospital care, per day, moderate complexity 21,424 18,136 $1.60M
99480 Subsequent intensive care, per day, low birth weight infant 15,560 2,979 $1.53M
99468 1,811 1,784 $1.40M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24,644 22,839 $1.15M
59514 1,356 1,342 $1.15M
99233 Prolong inpt eval add15 m 18,325 8,020 $1.10M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,072 12,955 $1.06M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,548 17,293 $931K
99238 Hospital discharge day management, 30 minutes or less 18,826 18,116 $788K
59426 1,123 1,109 $759K
99215 Prolong outpt/office vis 8,847 8,344 $684K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,675 10,561 $514K
99231 Subsequent hospital care, per day, straightforward or low complexity 20,618 9,963 $476K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,138 7,931 $458K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,247 8,173 $425K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,786 6,718 $400K
99460 6,621 6,545 $362K
99205 Prolong outpt/office vis 3,463 3,431 $355K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,862 5,783 $317K
59025 Fetal non-stress test 13,656 4,312 $289K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,362 5,286 $266K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,380 8,410 $262K
59430 1,495 1,478 $231K
99464 4,559 4,527 $193K
99471 243 238 $175K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,008 2,963 $150K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6,229 5,644 $143K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,809 2,624 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,191 5,954 $125K
54150 2,103 2,075 $121K
99239 Hospital discharge day management, more than 30 minutes 1,947 1,886 $121K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,042 3,460 $100K
99462 4,090 3,411 $97K
99385 1,564 1,542 $97K
99221 1,720 1,644 $92K
59425 208 207 $83K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,335 2,277 $73K
76801 2,393 2,247 $72K
76820 4,589 2,209 $71K
99386 898 885 $70K
99219 829 791 $61K
99235 640 637 $59K
99477 199 189 $57K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,451 12,207 $54K
99220 533 490 $51K
99465 607 601 $49K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 400 187 $49K
95819 1,107 1,072 $37K
93320 2,995 2,803 $36K
99496 354 351 $34K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 442 439 $32K
99442 1,184 1,147 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,013 1,004 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 1,805 1,757 $27K
99495 344 342 $25K
90472 Immunization administration, each additional vaccine (list separately) 1,318 1,312 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 851 785 $24K
76818 705 462 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,555 2,536 $22K
99383 299 296 $21K
95251 1,022 1,013 $19K
20610 563 474 $19K
93304 787 678 $19K
76819 Fetal biophysical profile; without non-stress testing 771 570 $19K
99236 Prolong inpt eval add15 m 133 133 $17K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2,070 2,054 $15K
99217 373 355 $14K
95720 97 50 $12K
83036 Hemoglobin; glycosylated (A1C) 2,139 2,087 $12K
93325 3,799 3,429 $11K
99381 163 162 $11K
99443 338 324 $10K
93298 667 656 $10K
93000 1,212 1,200 $9K
90791 Psychiatric diagnostic evaluation 113 107 $8K
73630 954 813 $6K
99384 81 80 $6K
99463 85 85 $5K
73564 306 266 $5K
93458 28 26 $4K
99406 703 669 $4K
82962 1,913 1,863 $4K
93321 912 795 $4K
99382 67 67 $4K
73610 396 363 $3K
90670 1,142 1,134 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 71 69 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 108 65 $3K
77073 173 171 $3K
73110 222 185 $3K
93016 210 207 $3K
93018 311 309 $3K
73030 185 166 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25 24 $2K
99441 193 190 $2K
98966 2,286 2,099 $2K
99459 280 276 $1K
99283 Emergency department visit for the evaluation and management, moderate severity 30 30 $1K
90686 1,016 1,003 $1K
99356 25 13 $1K
99292 16 13 $1K
73590 177 157 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 81 68 $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) 463 451 $922.91
90677 194 194 $894.84
99284 Emergency department visit for the evaluation and management, high severity 14 13 $873.83
76830 Ultrasound, transvaginal 28 27 $705.01
93272 51 51 $698.09
90651 29 27 $688.32
92551 203 202 $646.46
99243 12 12 $637.79
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 102 $632.10
73080 63 60 $587.08
73502 44 41 $501.92
96110 Developmental screening, with scoring and documentation, per standardized instrument 93 82 $493.90
99000 682 674 $465.33
92228 45 45 $436.24
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 14 $321.26
87428 15 15 $316.40
94010 100 89 $312.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 26 $252.84
D0190 89 89 $248.67
36416 93 92 $235.52
99152 39 33 $210.68
51701 13 13 $195.40
99188 30 30 $181.19
97802 102 98 $180.91
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $179.75
90715 44 43 $152.93
90674 15 15 $142.08
81002 124 116 $102.22
73090 14 13 $97.28
90656 46 46 $89.40
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15 15 $87.21
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 32 31 $85.16
81025 45 45 $80.84
95117 21 12 $60.66
81003 27 27 $47.57
G9008 Coordinated care fee, physician coordinated care oversight services 13 13 $29.42
86580 27 27 $26.31
36415 Collection of venous blood by venipuncture 161 144 $17.45
96127 14 12 $5.54
97803 12 12 $5.00
99499 242 236 $0.72
G9002 Coordinated care fee, maintenance rate 1,012 895 $0.57
1160F 56,810 51,497 $0.21
1159F 54,555 49,389 $0.21
3008F 68,798 64,533 $0.21
3079F 16,191 15,699 $0.21
1036F 50,322 46,034 $0.21
3074F 42,220 40,127 $0.21
G9007 Coordinated care fee, scheduled team conference 52 46 $0.05
3046F 1,723 1,697 $0.00
3051F 1,068 1,063 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 1,354 1,328 $0.00
4004F 144 142 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 9,007 8,673 $0.00
3078F 37,143 35,339 $0.00
3288F 7,500 7,231 $0.00
3077F 8,577 8,160 $0.00
3045F 57 57 $0.00
2028F 465 464 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,617 3,484 $0.00
3725F 29,832 28,362 $0.00
90633 277 276 $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 262 250 $0.00
90700 25 25 $0.00
90734 12 12 $0.00
0502F 164 122 $0.00
91300 32 29 $0.00
99173 158 158 $0.00
90707 41 41 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $0.00
90710 21 21 $0.00
90461 54 54 $0.00
90647 786 780 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 35,609 33,865 $0.00
1035F 1,154 1,046 $0.00
3080F 6,763 6,483 $0.00
3075F 9,368 9,153 $0.00
90716 30 30 $0.00
99024 4,056 3,483 $0.00
1126F 54,258 50,464 $0.00
1034F 9,668 8,741 $0.00
1125F 11,896 11,397 $0.00
3044F 2,895 2,878 $0.00
90680 507 501 $0.00
3052F 865 861 $0.00
90723 818 811 $0.00
1111F 256 253 $0.00
1000F 165 162 $0.00
90696 20 20 $0.00
90697 28 28 $0.00