Based on public Medicaid payment data.
Spectrum Health Primary Care Partners
Medicaid Provider in Grand Rapids, MI
Type
Organization
Address
1840 Wealthy St Se
Grand Rapids, MI 495062921
Phone
6164866793
NPI
1235188673
Procedures
35
Total Claims
2.7M
Patients Served
2.4M
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Office Visit | $63.48 | 1,269,797 | 1,180,756 |
| Vaccines & Immunizations | $12.97 | 431,117 | 426,444 |
| Blood Work & Lab Tests | $4.98 | 148,222 | 136,024 |
| EKG / ECG (Electrocardiogram) | $5.27 | 116,700 | 100,775 |
| Psychiatric Evaluation | $65.41 | 96,902 | 78,491 |
| Ultrasound | $60.98 | 85,961 | 71,953 |
| Emergency Room Visit | $106.74 | 69,051 | 20,190 |
| X-Ray | $14.68 | 57,922 | 51,479 |
| Urinalysis & Urine Tests | $3.57 | 57,358 | 55,311 |
| Echocardiogram | $43.47 | 54,833 | 51,801 |
| Eye Exam | $46.80 | 46,453 | 45,576 |
| Pulmonary Function Test | $15.05 | 34,816 | 33,948 |
| Prescription Medications | $198.59 | 34,495 | 31,099 |
| Hearing Test (Audiometry) | $10.89 | 24,161 | 23,774 |
| Upper Endoscopy (EGD) | $60.72 | 22,348 | 21,580 |
| Colonoscopy | $102.29 | 16,288 | 15,625 |
| Case Management Services | $28.76 | 14,532 | 12,276 |
| Pregnancy & Prenatal Care | $852.24 | 13,915 | 13,691 |
| Sleep Study (Polysomnography) | $55.67 | 13,244 | 13,103 |
| Culture & Microbiology Tests | $4.37 | 11,271 | 6,414 |
| Allergy Testing | $63.07 | 6,322 | 6,238 |
| Cardiac Stress Test | $36.70 | 5,624 | 5,579 |
| Nursing Facility Care | $46.80 | 4,231 | 3,328 |
| Podiatry (Foot Care) | $45.94 | 3,264 | 2,839 |
| Circumcision | $54.51 | 3,235 | 3,205 |
| Cardiac Catheterization | $110.93 | 2,753 | 2,639 |
| Tonsillectomy | $151.26 | 2,657 | 2,602 |
| Gallbladder Removal (Cholecystectomy) | $329.63 | 1,985 | 1,820 |
| Chemotherapy | $48.96 | 911 | 768 |
| Appendectomy | $343.18 | 219 | 217 |
| Skin Biopsy & Lesion Removal | $55.55 | 204 | 202 |
| Physical Therapy | $29.91 | 185 | 119 |
| Pathology & Lab Services | $16.01 | 49 | 49 |
| Mammogram | $40.98 | 44 | 36 |
| Knee Replacement | $207.83 | 18 | 13 |
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