Clinic
Memorial Medical Center of West Michigan
Memorial Medical Center of West Michigan was paid $1.41M by Medicaid between Feb 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoMEMORIAL MEDICAL CENTER OF WEST MICHIGAN
LUDINGTON, MI 49431
LUDINGTON, MI 49431
33aNPI1982063210assigned 02/15/2016
33bProvider typeRural Health Clinic/Center
28Total paid$1.41M
24GClaims42,201
24DCodes billed34
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#42 of 193
Median peer was paid$426K
This provider vs. median3.3×
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 | 326 | $8K | |
| 2019 | 423 | $13K | |
| 2020 | 4,155 | $127K | |
| 2021 | 8,457 | $306K | |
| 2022 | 10,458 | $336K | |
| 2023 | 9,800 | $311K | |
| 2024incomplete | 8,582 | $309K |
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 | 87% | 21,193 | 18,422 | $1.23M |
| 59426 | 4.9% | 77 | 77 | $69K | |
| 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 | 2.5% | 6,081 | 5,838 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 5,395 | 5,158 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,189 | 1,184 | $11K |
| 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 | <1% | 1,275 | 1,268 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,414 | 1,397 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 722 | 719 | $7K |
| 59430 | <1% | 67 | 67 | $6K | |
| 90686 | <1% | 318 | 318 | $4K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 360 | 344 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,012 | 953 | $2K |
22 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 805 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 123 | $1K |
| 90715 | <1% | 36 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 177 | $861.71 |
| 90656 | <1% | 62 | $728.27 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 87 | $562.24 |
| 76830 | Ultrasound, transvaginal | <1% | 67 | $500.57 |
| 59025 | Fetal non-stress test | <1% | 179 | $442.10 |
| 81025 | <1% | 616 | $327.98 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 59 | $300.19 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $235.39 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $210.60 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 154 | $192.96 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 47 | $162.12 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 103 | $150.81 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | $123.21 |
| 20610 | <1% | 111 | $38.04 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $16.13 |
| 81003 | <1% | 13 | $3.74 | |
| 36416 | 0% | 293 | $0.00 | |
| 99243 | 0% | 13 | $0.00 | |
| 96127 | 0% | 14 | $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 organizationMEMORIAL MEDICAL CENTER OF WEST MICHIGAN
| 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 | $1.17M |
| Pennock Hospital | Lake Odessa, MI | $1.04M |
| 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.