Medicaid Provider Spending

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

PENNOCK HOSPITAL

NPI: 1932695525 · HASTINGS, MI 49058 · Critical Access Hospital · NPI assigned 07/06/2018

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

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

$15.24M
Total Medicaid Paid
444,497
Total Claims
395,349
Beneficiaries
210
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (CFO)
NPI Enumeration Date07/06/2018

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
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
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 41,519 $1.03M
2020 57,279 $1.93M
2021 86,784 $3.01M
2022 90,192 $3.24M
2023 95,280 $3.36M
2024 73,443 $2.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 10,198 9,646 $2.70M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 26,306 23,684 $2.19M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,140 4,820 $2.00M
99283 Emergency department visit for the evaluation and management, moderate severity 9,847 9,303 $1.69M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,688 5,933 $859K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,612 2,549 $530K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,496 4,101 $454K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 6,238 6,032 $417K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,092 2,958 $305K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,102 1,896 $254K
71046 Radiologic examination, chest; 2 views 4,761 4,596 $248K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,894 1,859 $204K
96361 Intravenous infusion, hydration; each additional hour 4,557 3,960 $171K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 341 338 $153K
96375 Therapeutic injection; each additional sequential IV push 5,743 4,800 $147K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,008 966 $134K
80061 Lipid panel 7,887 7,855 $107K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,477 2,319 $97K
86900 1,709 1,658 $95K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,185 1,174 $93K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,598 4,559 $90K
36415 Collection of venous blood by venipuncture 33,095 28,486 $90K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 4,476 4,333 $87K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,414 4,377 $85K
77067 Screening mammography, bilateral, including computer-aided detection 1,306 1,302 $83K
80053 Comprehensive metabolic panel 23,668 21,301 $83K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 2,304 2,299 $80K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,294 2,202 $78K
76830 Ultrasound, transvaginal 941 933 $75K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,434 3,310 $71K
70450 Computed tomography, head or brain; without contrast material 1,260 1,220 $69K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 96 92 $65K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,125 5,850 $64K
84443 Thyroid stimulating hormone (TSH) 6,798 6,692 $63K
97161 900 889 $58K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 720 718 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,484 18,012 $43K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 535 533 $42K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 181 135 $42K
80050 General health panel 1,470 1,451 $41K
82947 2,599 1,739 $41K
87428 1,422 1,404 $38K
71045 Radiologic examination, chest; single view 704 673 $38K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,094 2,068 $37K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 408 391 $34K
99281 Emergency department visit for the evaluation and management, self-limited or minor 583 550 $33K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 420 417 $32K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,774 1,759 $32K
83036 Hemoglobin; glycosylated (A1C) 4,897 4,882 $29K
G0378 Hospital observation service, per hour 170 132 $23K
97162 381 377 $22K
87086 Culture, bacterial; quantitative colony count, urine 7,694 7,372 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,488 3,622 $22K
73630 1,506 1,474 $21K
74176 Computed tomography, abdomen and pelvis; without contrast material 136 134 $21K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 853 850 $21K
85027 6,669 6,344 $21K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 1,019 1,018 $20K
73562 880 865 $18K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 1,282 1,279 $18K
82728 1,960 1,931 $18K
82607 1,793 1,787 $16K
72100 337 337 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material 63 63 $15K
84702 1,875 1,327 $15K
86780 1,476 1,474 $14K
73130 1,189 1,161 $14K
73610 1,165 1,139 $14K
93975 80 79 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,923 1,750 $13K
71275 Computed tomographic angiography, chest, with contrast material 116 113 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,100 4,517 $12K
87653 492 490 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 405 401 $11K
73030 576 557 $11K
74018 295 290 $10K
73110 668 647 $10K
80048 Basic metabolic panel (calcium, ionized) 2,742 2,339 $10K
72125 Computed tomography, cervical spine; without contrast material 96 94 $10K
77063 Screening digital breast tomosynthesis, bilateral 574 574 $10K
87077 2,965 2,889 $9K
83550 1,521 1,506 $9K
C9399 Unclassified drugs or biologicals 157 157 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $9K
84439 1,560 1,524 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 52 52 $8K
G0475 Hiv antigen/antibody, combination assay, screening 436 436 $8K
87186 2,184 2,153 $7K
81001 11,724 10,814 $7K
83540 1,562 1,547 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 705 699 $6K
82570 1,911 1,799 $6K
87081 4,126 4,057 $6K
85610 2,901 2,136 $5K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 387 386 $5K
84146 403 400 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 155 59 $5K
83735 2,670 2,203 $5K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 484 448 $5K
93971 63 61 $4K
87205 2,623 2,538 $4K
83880 644 596 $4K
82043 1,101 1,095 $4K
86140 2,087 1,939 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $4K
83655 393 391 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $3K
72141 14 14 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 91 86 $3K
0012A 85 85 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 249 222 $3K
82746 266 265 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $3K
82950 703 700 $2K
80076 401 359 $2K
87340 1,171 1,170 $2K
76801 26 26 $2K
0011A 97 97 $2K
85652 1,504 1,444 $2K
96376 1,040 717 $2K
87070 607 590 $2K
0002A 51 50 $2K
76536 26 26 $2K
0001A 56 56 $2K
73502 62 61 $2K
76642 26 26 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,774 3,701 $1K
83690 3,887 3,603 $1K
73140 112 107 $1K
82565 1,221 1,183 $1K
85007 857 788 $1K
87147 740 726 $1K
71250 14 14 $1K
87563 56 56 $1K
84100 946 819 $1K
81025 6,045 5,697 $1K
97022 152 56 $994.45
85730 1,100 1,048 $928.53
80074 25 25 $877.80
86850 1,603 1,565 $812.67
86480 24 24 $788.56
84156 438 390 $698.75
84403 36 36 $661.38
86038 70 70 $603.80
86762 772 772 $599.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,032 910 $496.13
84481 40 38 $441.74
73080 46 45 $433.18
82784 41 41 $298.08
83516 27 25 $271.36
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 467 439 $269.62
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 13 13 $258.64
73090 27 26 $250.58
85379 348 344 $228.15
81002 2,405 2,341 $198.94
84425 13 13 $189.40
86787 230 229 $179.30
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 73 69 $169.78
87807 462 457 $140.00
83605 3,157 2,484 $116.87
J7030 Infusion, normal saline solution , 1000 cc 7,744 6,699 $108.06
84484 3,316 2,049 $105.34
85018 108 91 $102.66
86431 25 25 $100.64
86308 57 57 $91.00
88304 12 12 $80.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,822 2,607 $64.32
82248 15 12 $53.06
82077 585 547 $47.33
87040 120 80 $43.76
J2704 Injection, propofol, 10 mg 3,294 3,140 $33.07
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,158 4,541 $21.58
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,946 3,816 $21.22
80143 220 213 $14.99
J1885 Injection, ketorolac tromethamine, per 15 mg 5,654 4,990 $10.22
J7120 Ringers lactate infusion, up to 1000 cc 3,766 3,426 $1.91
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 573 519 $1.27
J7050 Infusion, normal saline solution, 250 cc 4,472 3,177 $0.98
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,810 1,702 $0.05
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,644 1,265 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 396 348 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 896 834 $0.00
80179 218 212 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 207 206 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 374 341 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 6,457 6,046 $0.00
90715 170 170 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 40 39 $0.00
91300 115 97 $0.00
84145 12 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,036 945 $0.00
C1889 Implantable/insertable device, not otherwise classified 138 137 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,010 1,685 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,265 1,158 $0.00
J1170 Injection, hydromorphone, up to 4 mg 898 686 $0.00
91301 191 191 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 71 70 $0.00
J0690 Injection, cefazolin sodium, 500 mg 588 544 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 201 180 $0.00
A9270 Non-covered item or service 413 290 $0.00
12001 100 100 $0.00
J2060 Injection, lorazepam, 2 mg 31 25 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 184 172 $0.00
J1630 Injection, haloperidol, up to 5 mg 87 76 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 47 47 $0.00
A9573 Injection, gadopiclenol, 1 ml 63 63 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 33 28 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 12 12 $0.00