Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAND RAPIDS › ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

NPI: 1952340911 · GRAND RAPIDS, MI 49503 · General Acute Care Hospital · NPI assigned 06/05/2006

$21.94M
Total Medicaid Paid
527,513
Total Claims
420,144
Beneficiaries
217
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREEN, DANIEL (VICE PRESIDENT FINANCE GRAND RAPIDS)
NPI Enumeration Date06/05/2006

Related Entities

Other providers sharing the same authorized official: GREEN, DANIEL

ProviderCityStateTotal Paid
ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP GRAND RAPIDS MI $16.99M
MERCY HEALTH PARTNERS WHITEHALL MI $3.51M
MERCY HEALTH PARTNERS LUDINGTON MI $2.19M
MERCY HEALTH PARTNERS HART MI $2.10M
MERCY HEALTH PARTNERS SHELBY MI $1.94M
ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP BYRON CENTER MI $105K
MERCY HEALTH PARTNERS LUDINGTON MI $12K
MERCY HEALTH PARTNERS MUSKEGON MI $7K
MERCY HEALTH PARTNERS SHELBY MI $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,899 $2.06M
2019 47,158 $1.99M
2020 53,789 $2.11M
2021 74,076 $3.45M
2022 86,430 $3.94M
2023 99,916 $4.43M
2024 117,245 $3.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,624 73,127 $4.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,452 58,085 $2.50M
99232 Subsequent hospital care, per day, moderate complexity 58,822 13,582 $2.12M
99223 Prolong inpt eval add15 m 14,402 11,028 $1.37M
99233 Prolong inpt eval add15 m 22,709 7,177 $1.24M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,074 11,878 $876K
99215 Prolong outpt/office vis 10,834 10,436 $840K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,613 1,954 $760K
99222 Initial hospital care, per day, moderate complexity 7,703 6,435 $518K
59426 681 679 $512K
99239 Hospital discharge day management, more than 30 minutes 8,520 8,015 $477K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,744 8,097 $461K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,249 7,244 $438K
99205 Prolong outpt/office vis 4,094 4,020 $384K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,643 5,639 $339K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,055 6,999 $324K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,099 4,098 $277K
99238 Hospital discharge day management, 30 minutes or less 5,320 5,120 $211K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,175 3,169 $211K
95720 1,794 810 $199K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,459 5,429 $196K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,592 2,588 $193K
99479 Subsequent intensive care, per day, very low birth weight infant 1,838 204 $192K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,694 3,447 $173K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 202 202 $153K
99220 1,656 1,609 $143K
64615 1,988 1,986 $130K
99254 1,085 971 $98K
99460 1,651 1,633 $90K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,710 3,568 $87K
90837 Psychotherapy, 53 minutes with patient 1,371 1,001 $87K
99283 Emergency department visit for the evaluation and management, moderate severity 2,198 2,009 $86K
90834 Psychotherapy, 45 minutes with patient 1,755 1,439 $82K
59025 Fetal non-stress test 4,712 2,166 $81K
99253 1,263 1,140 $78K
99480 Subsequent intensive care, per day, low birth weight infant 717 107 $75K
99217 2,165 2,114 $72K
99219 1,008 984 $65K
95951 385 179 $64K
95810 Polysomnography; sleep staging with 4 or more additional parameters 958 947 $63K
90791 Psychiatric diagnostic evaluation 643 634 $62K
99244 Office or other outpatient consultation, moderate to high complexity 709 688 $59K
95886 1,813 1,659 $55K
95718 583 540 $43K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,378 8,763 $41K
99468 52 52 $41K
99464 931 930 $41K
64405 1,172 1,047 $40K
99221 809 786 $40K
43775 109 60 $37K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 932 924 $34K
20610 1,223 1,133 $34K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,046 659 $33K
92133 2,631 2,543 $30K
95811 464 453 $30K
95251 1,834 1,760 $27K
92083 1,702 1,646 $26K
90832 Psychotherapy, 30 minutes with patient 690 556 $25K
99284 Emergency department visit for the evaluation and management, high severity 354 343 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,079 2,061 $23K
64400 723 461 $23K
99385 282 282 $22K
92060 1,005 978 $20K
95812 608 586 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 679 630 $16K
95938 726 710 $16K
93016 1,581 1,547 $16K
99310 Prolong nursin fac eval 15m 345 323 $16K
99381 235 232 $15K
90472 Immunization administration, each additional vaccine (list separately) 676 676 $15K
76536 828 813 $14K
93248 1,036 1,032 $14K
96116 383 372 $14K
99384 174 174 $14K
95806 511 510 $13K
93356 2,018 2,003 $13K
99292 152 102 $12K
99383 171 171 $12K
99225 1,074 523 $11K
96118 97 93 $11K
93018 1,581 1,546 $11K
96132 217 210 $10K
93351 217 216 $10K
99462 387 334 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 181 175 $8K
99188 1,172 1,170 $7K
96133 126 125 $7K
76376 1,422 1,409 $7K
D0190 421 421 $7K
94726 1,077 1,070 $6K
99252 138 129 $6K
99255 51 51 $6K
93320 562 554 $5K
99493 122 122 $5K
94010 1,100 1,093 $5K
59425 13 13 $5K
94729 1,078 1,072 $5K
93308 380 351 $5K
93350 136 128 $5K
93298 318 318 $4K
59430 28 28 $4K
17110 116 100 $4K
90686 1,342 1,340 $4K
99417 Prolong home eval add 15m 129 126 $4K
95819 124 122 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 147 147 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 50 50 $4K
99406 697 677 $4K
97597 223 142 $4K
96139 70 67 $4K
99243 77 70 $3K
99308 Subsequent nursing facility care, per day, straightforward 133 120 $3K
54150 56 55 $3K
93325 1,805 1,702 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 42 42 $3K
99442 155 155 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 44 42 $3K
99382 37 37 $2K
95870 106 104 $2K
99218 51 51 $2K
91200 284 282 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 27 27 $2K
99494 70 70 $2K
11981 53 53 $2K
96119 75 72 $2K
95816 64 62 $2K
90474 203 203 $2K
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) 623 601 $2K
95909 40 40 $2K
99245 15 15 $2K
83036 Hemoglobin; glycosylated (A1C) 463 460 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18 18 $2K
95913 14 14 $1K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 57 56 $1K
11721 130 130 $1K
36415 Collection of venous blood by venipuncture 701 656 $1K
93458 12 12 $1K
99000 136 135 $1K
96138 87 84 $1K
92551 171 171 $1K
93321 305 284 $1K
11750 18 12 $1K
93922 146 142 $1K
99242 28 27 $1K
0011A 31 31 $1K
99484 63 63 $964.28
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 144 125 $940.73
90651 130 130 $940.29
64483 16 16 $904.09
99306 Prolong nursin fac eval 15m 14 14 $885.66
90662 40 39 $885.00
36416 422 411 $867.84
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 13 12 $860.08
96110 Developmental screening, with scoring and documentation, per standardized instrument 81 81 $767.28
90715 105 105 $678.88
90620 28 28 $567.63
99492 14 14 $549.57
99152 92 91 $535.63
95885 41 40 $519.89
95861 13 13 $479.66
81025 74 72 $458.55
98966 4,688 3,433 $456.13
82962 278 272 $446.38
85018 181 180 $345.20
99443 31 31 $329.03
98967 1,466 1,220 $316.68
93272 24 24 $287.48
93971 12 12 $238.37
20553 14 13 $209.03
92082 16 16 $189.60
94060 25 25 $177.03
96160 128 127 $165.73
96120 13 12 $145.76
90734 119 119 $139.16
96161 432 427 $113.00
98968 253 217 $107.33
G0453 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 27 24 $96.35
G9002 Coordinated care fee, maintenance rate 1,343 1,242 $80.88
81003 46 46 $72.65
82044 17 17 $70.74
99441 14 13 $49.50
0298T 30 30 $47.97
90670 258 258 $46.03
G0008 Administration of influenza virus vaccine 72 70 $21.00
3080F 2,990 2,838 $0.00
3044F 2,794 2,573 $0.00
3008F 6,504 6,314 $0.00
S0250 Comprehensive geriatric assessment and treatment planning performed by assessment team 224 223 $0.00
3074F 19,360 17,958 $0.00
3052F 304 284 $0.00
3079F 9,096 8,727 $0.00
0399T 34 31 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,547 1,449 $0.00
3075F 6,130 5,931 $0.00
90647 191 191 $0.00
90680 180 180 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 86 80 $0.00
90723 188 188 $0.00
90716 38 38 $0.00
90696 29 29 $0.00
99024 25 18 $0.00
0500F 17 14 $0.00
3077F 3,966 3,755 $0.00
3078F 17,302 16,158 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 989 928 $0.00
0502F 632 449 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 269 257 $0.00
3051F 498 454 $0.00
90700 58 58 $0.00
3046F 476 408 $0.00
95941 108 104 $0.00
G9920 Screening performed and negative 1,110 1,097 $0.00
90710 30 30 $0.00
90707 36 36 $0.00
G9919 Screening performed and positive and provision of recommendations 27 27 $0.00
90633 111 111 $0.00