Hospital
Advantage Health Saint Mary's Medical Group
Advantage Health Saint Mary's Medical Group was paid $21.94M by Medicaid between Jan 2018 and Dec 2024, across 217 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1952340911assigned 06/05/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$21.94M
24GClaims527,513
24DCodes billed217
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Michigan
Rank by total paid#43 of 86
Median peer was paid$21.55M
This provider vs. median1.0×
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.
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 | 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 | |
| 2024incomplete | 117,245 | $3.95M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 80,624 | 73,127 | $4.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 62,452 | 58,085 | $2.50M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.7% | 58,822 | 13,582 | $2.12M |
| 99223 | Prolong inpt eval add15 m | 6.2% | 14,402 | 11,028 | $1.37M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.7% | 22,709 | 7,177 | $1.24M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.0% | 12,074 | 11,878 | $876K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 10,834 | 10,436 | $840K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.5% | 6,613 | 1,954 | $760K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 7,703 | 6,435 | $518K |
| 59426 | 2.3% | 681 | 679 | $512K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 8,520 | 8,015 | $477K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 8,744 | 8,097 | $461K |
205 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 7,249 | $438K |
| 99205 | Prolong outpt/office vis | 1.7% | 4,094 | $384K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 5,643 | $339K |
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 7,055 | $324K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 4,099 | $277K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 5,320 | $211K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,175 | $211K |
| 95720 | <1% | 1,794 | $199K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 5,459 | $196K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,592 | $193K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 1,838 | $192K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 8,694 | $173K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 202 | $153K |
| 99220 | <1% | 1,656 | $143K | |
| 64615 | <1% | 1,988 | $130K | |
| 99254 | <1% | 1,085 | $98K | |
| 99460 | <1% | 1,651 | $90K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,710 | $87K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,371 | $87K |
| 99283 | Emergency room visit (moderate) | <1% | 2,198 | $86K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,755 | $82K |
| 59025 | Fetal non-stress test | <1% | 4,712 | $81K |
| 99253 | <1% | 1,263 | $78K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 717 | $75K |
| 99217 | <1% | 2,165 | $72K | |
| 99219 | <1% | 1,008 | $65K | |
| 95951 | <1% | 385 | $64K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 958 | $63K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 643 | $62K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 709 | $59K |
| 95886 | <1% | 1,813 | $55K | |
| 95718 | <1% | 583 | $43K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,378 | $41K |
| 99468 | <1% | 52 | $41K | |
| 99464 | <1% | 931 | $41K | |
| 64405 | <1% | 1,172 | $40K | |
| 99221 | <1% | 809 | $40K | |
| 43775 | <1% | 109 | $37K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 932 | $34K |
| 20610 | <1% | 1,223 | $34K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,046 | $33K |
| 92133 | <1% | 2,631 | $30K | |
| 95811 | <1% | 464 | $30K | |
| 95251 | <1% | 1,834 | $27K | |
| 92083 | <1% | 1,702 | $26K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 690 | $25K |
| 99284 | Emergency room visit (serious) | <1% | 354 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,079 | $23K |
| 64400 | <1% | 723 | $23K | |
| 99385 | <1% | 282 | $22K | |
| 92060 | <1% | 1,005 | $20K | |
| 95812 | <1% | 608 | $19K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 679 | $16K |
| 95938 | <1% | 726 | $16K | |
| 93016 | <1% | 1,581 | $16K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 345 | $16K |
| 99381 | <1% | 235 | $15K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 676 | $15K |
| 76536 | <1% | 828 | $14K | |
| 93248 | <1% | 1,036 | $14K | |
| 96116 | <1% | 383 | $14K | |
| 99384 | <1% | 174 | $14K | |
| 95806 | <1% | 511 | $13K | |
| 93356 | <1% | 2,018 | $13K | |
| 99292 | <1% | 152 | $12K | |
| 99383 | <1% | 171 | $12K | |
| 99225 | <1% | 1,074 | $11K | |
| 96118 | <1% | 97 | $11K | |
| 93018 | <1% | 1,581 | $11K | |
| 96132 | <1% | 217 | $10K | |
| 93351 | <1% | 217 | $10K | |
| 99462 | <1% | 387 | $9K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 181 | $8K |
| 99188 | <1% | 1,172 | $7K | |
| 96133 | <1% | 126 | $7K | |
| 76376 | <1% | 1,422 | $7K | |
| D0190 | <1% | 421 | $7K | |
| 94726 | <1% | 1,077 | $6K | |
| 99252 | <1% | 138 | $6K | |
| 99255 | <1% | 51 | $6K | |
| 93320 | <1% | 562 | $5K | |
| 99493 | <1% | 122 | $5K | |
| 94010 | <1% | 1,100 | $5K | |
| 59425 | <1% | 13 | $5K | |
| 94729 | <1% | 1,078 | $5K | |
| 93308 | <1% | 380 | $5K | |
| 93350 | <1% | 136 | $5K | |
| 93298 | <1% | 318 | $4K | |
| 59430 | <1% | 28 | $4K | |
| 17110 | <1% | 116 | $4K | |
| 90686 | <1% | 1,342 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 129 | $4K |
| 95819 | <1% | 124 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 147 | $4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 50 | $4K |
| 99406 | <1% | 697 | $4K | |
| 97597 | <1% | 223 | $4K | |
| 96139 | <1% | 70 | $4K | |
| 99243 | <1% | 77 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 133 | $3K |
| 54150 | <1% | 56 | $3K | |
| 93325 | <1% | 1,805 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 42 | $3K |
| 99442 | <1% | 155 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 44 | $3K |
| 99382 | <1% | 37 | $2K | |
| 95870 | <1% | 106 | $2K | |
| 99218 | <1% | 51 | $2K | |
| 91200 | <1% | 284 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 27 | $2K |
| 99494 | <1% | 70 | $2K | |
| 11981 | <1% | 53 | $2K | |
| 96119 | <1% | 75 | $2K | |
| 95816 | <1% | 64 | $2K | |
| 90474 | <1% | 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) | <1% | 623 | $2K |
| 95909 | <1% | 40 | $2K | |
| 99245 | <1% | 15 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 463 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $2K |
| 99285 | Emergency room visit (most serious) | <1% | 18 | $2K |
| 95913 | <1% | 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) | <1% | 57 | $1K |
| 11721 | <1% | 130 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 701 | $1K |
| 93458 | <1% | 12 | $1K | |
| 99000 | <1% | 136 | $1K | |
| 96138 | <1% | 87 | $1K | |
| 92551 | <1% | 171 | $1K | |
| 93321 | <1% | 305 | $1K | |
| 11750 | <1% | 18 | $1K | |
| 93922 | <1% | 146 | $1K | |
| 99242 | <1% | 28 | $1K | |
| 0011A | <1% | 31 | $1K | |
| 99484 | <1% | 63 | $964.28 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | $940.73 |
| 90651 | <1% | 130 | $940.29 | |
| 64483 | <1% | 16 | $904.09 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 14 | $885.66 |
| 90662 | <1% | 40 | $885.00 | |
| 36416 | <1% | 422 | $867.84 | |
| G0467 | Community health center visit, returning patient | <1% | 13 | $860.08 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 81 | $767.28 |
| 90715 | <1% | 105 | $678.88 | |
| 90620 | <1% | 28 | $567.63 | |
| 99492 | <1% | 14 | $549.57 | |
| 99152 | <1% | 92 | $535.63 | |
| 95885 | <1% | 41 | $519.89 | |
| 95861 | <1% | 13 | $479.66 | |
| 81025 | <1% | 74 | $458.55 | |
| 98966 | <1% | 4,688 | $456.13 | |
| 82962 | <1% | 278 | $446.38 | |
| 85018 | <1% | 181 | $345.20 | |
| 99443 | <1% | 31 | $329.03 | |
| 98967 | <1% | 1,466 | $316.68 | |
| 93272 | <1% | 24 | $287.48 | |
| 93971 | <1% | 12 | $238.37 | |
| 20553 | <1% | 14 | $209.03 | |
| 92082 | <1% | 16 | $189.60 | |
| 94060 | <1% | 25 | $177.03 | |
| 96160 | <1% | 128 | $165.73 | |
| 96120 | <1% | 13 | $145.76 | |
| 90734 | <1% | 119 | $139.16 | |
| 96161 | <1% | 432 | $113.00 | |
| 98968 | <1% | 253 | $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) | <1% | 27 | $96.35 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,343 | $80.88 |
| 81003 | <1% | 46 | $72.65 | |
| 82044 | <1% | 17 | $70.74 | |
| 99441 | <1% | 14 | $49.50 | |
| 0298T | <1% | 30 | $47.97 | |
| 90670 | <1% | 258 | $46.03 | |
| G0008 | Administration of influenza virus vaccine | <1% | 72 | $21.00 |
| 3080F | 0% | 2,990 | $0.00 | |
| 3044F | 0% | 2,794 | $0.00 | |
| 3008F | 0% | 6,504 | $0.00 | |
| S0250 | Comprehensive geriatric assessment and treatment planning performed by assessment team | 0% | 224 | $0.00 |
| 3074F | 0% | 19,360 | $0.00 | |
| 3052F | 0% | 304 | $0.00 | |
| 3079F | 0% | 9,096 | $0.00 | |
| 0399T | 0% | 34 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,547 | $0.00 |
| 3075F | 0% | 6,130 | $0.00 | |
| 90647 | 0% | 191 | $0.00 | |
| 90680 | 0% | 180 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 86 | $0.00 |
| 90723 | 0% | 188 | $0.00 | |
| 90716 | 0% | 38 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 99024 | 0% | 25 | $0.00 | |
| 0500F | 0% | 17 | $0.00 | |
| 3077F | 0% | 3,966 | $0.00 | |
| 3078F | 0% | 17,302 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 989 | $0.00 |
| 0502F | 0% | 632 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 269 | $0.00 |
| 3051F | 0% | 498 | $0.00 | |
| 90700 | 0% | 58 | $0.00 | |
| 3046F | 0% | 476 | $0.00 | |
| 95941 | 0% | 108 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,110 | $0.00 |
| 90710 | 0% | 30 | $0.00 | |
| 90707 | 0% | 36 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 27 | $0.00 |
| 90633 | 0% | 111 | $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 officialGREEN, DANIEL (VICE PRESIDENT FINANCE GRAND RAPIDS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.