Clinic
Pennock Hospital
Pennock Hospital was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoPENNOCK HOSPITAL
LAKE ODESSA, MI 48849
LAKE ODESSA, MI 48849
33aNPI1962889584assigned 05/04/2015
33bProvider typeRural Health Clinic/Center
28Total paid$1.04M
24GClaims32,987
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#57 of 193
Median peer was paid$426K
This provider vs. median2.4×
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 SELLA, JOHN controls 14+ 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 | 4,732 | $149K | |
| 2019 | 4,456 | $132K | |
| 2020 | 3,389 | $99K | |
| 2021 | 4,781 | $149K | |
| 2022 | 4,802 | $152K | |
| 2023 | 5,336 | $176K | |
| 2024incomplete | 5,491 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 88% | 15,758 | 13,694 | $922K |
| 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 | 5.3% | 6,196 | 5,706 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 6,161 | 5,590 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,054 | 1,047 | $6K |
| 90686 | <1% | 737 | 737 | $4K | |
| 90671 | <1% | 81 | 81 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 239 | 239 | $3K |
| 87428 | <1% | 169 | 168 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 871 | 858 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 83 | 80 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 73 | 73 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 76 | 76 | $779.79 |
16 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 56 | $615.75 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $606.08 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 64 | $570.70 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 276 | $462.04 |
| 96127 | <1% | 645 | $377.45 | |
| 90656 | <1% | 62 | $334.15 | |
| 90480 | <1% | 13 | $279.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $92.26 |
| 90715 | <1% | 12 | $76.58 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 55 | $73.60 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 28 | $30.13 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | $29.26 |
| 81003 | <1% | 50 | $16.83 | |
| 90461 | 0% | 104 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 87807 | 0% | 13 | $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 officialSELLA, JOHN (CONTROLLER)
Parent organizationPENNOCK HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Newaygo County General Hospital Association | Fremont, MI | $3.34M |
| Newaygo County General Hospital Association | Fremont, MI | $3.15M |
| Memorial Medical Center of West Michigan | Ludington, MI | $2.24M |
| Newaygo County General Hospital Association | Fremont, MI | $1.78M |
| Newaygo County General Hospital Association | Newaygo, MI | $1.75M |
| Memorial Medical Center of West Michigan | Grant, MI | $1.42M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.41M |
| Memorial Medical Center of West Michigan | Ludington, MI | $1.17M |
| Pennock Hospital | Hastings, MI | $760K |
| Pennock Hospital | Hastings, MI | $714K |
| Memorial Medical Center of West Michigan | Hart, MI | $627K |
| Memorial Medical Center of West Michigan | Hesperia, MI | $623K |
| Pennock Hospital | Wayland, MI | $532K |
| Pennock Hospital | Middleville, MI | $384K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.