Providers
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
NPI 1912094525, organization, Benton Harbor, MI, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00130, ranked 130 nationally.
score 66 of 100, rank 1204, $354K at stake
Provider networks
D1-00130 ranked 13068 providers around Grand Rapids, MI: 7 hospices, 10 home health agencies, 51 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC (also COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL) |
| Type | Organization |
| Status | Active |
| NPI issued | October 6, 2006, last updated August 16, 2023 |
| Practice location | 2550 MEADOWBROOK RD, SUITE 110, Benton Harbor, MI 49022-9609, 269-985-4400 |
| Mailing address | PO BOX 813, Saint Joseph, MI 49085-0813 |
| Authorized official | Matthew Cox (Cfo) |
| Specialties | Home Health (251E00000X, primary, license 110050 MI) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $1.9M | 57% | $315 | $151 (top 5% from $742) | 75th percentile | |
| G0151 | PT in home health or hospice setting each 15 min | $679K | 20% | $280 | $203 (top 5% from $565) | 69th percentile | |
| G0300 | Direct skilled nursing by LPN in home health or hospice each 15 min | $576K | 17% | $232 | $133 (top 5% from $1K) | 64th percentile | |
| G0152 | OT in home health or hospice setting each 15 min | $190K | 6% | $191 | $182 (top 5% from $529) | 53rd percentile | |
| A6213 | Medicaid service code | $324 | 0% | $25 | $120 (top 5% from $406) | too few months to rank | |
| A6252 | Medicaid service code | $170 | 0% | $2.03 | $54 (top 5% from $181) | too few months to rank | |
| A6402 | Medicaid service code | $29 | 0% | $0.15 | $9.57 (top 5% from $25) | 7th percentile | |
| A6446 | Medicaid service code | $19 | 0% | $0.46 | $21 (top 5% from $57) | too few months to rank |
In this area
4 providers in Berrien County, MI carry an indicator in the public record, with $924K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOSPICE AT HOME, INC. Saint Joseph, MI, ranked 1553 | $10K |
|
| 3 | MERCY MEMORIAL HEALTH SERVICES INC Stevensville, MI, ranked 4408 | $0 |
|
| 3 | GIVA TILLMAN - ADKINS Niles, MI, ranked 6855 | $0 |
|
| 4 | MICHAEL QUION Berrien Springs, MI, ranked 7850 | $914K |
|
Recent enforcement in MI
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
National Health Care Fraud Enforcement Action Results in 455 Defendants Charged and Over $6.5 Billion in Intended Fraud Loss Charged
Six cases in the Eastern District of Michigan involving alleged fraudulent billing of Medicare, Medicaid and private insurers for laboratory tests, prescriptions not dispensed, and reimbursement claims for services never rendered, plus unlawful opioid prescribing and False Claims Act settlements.
DOJConvictedMay 15, 2026
Michigan Home Health Care Agency Owner Convicted of $1.6M Medicare Fraud Scheme and Kickback Conspiracy
Scott bribed a hospital discharge nurse to fax confidential Medicare patient records to her home health agency and billed Medicare for home health services using false representations that doctors had certified the patients as homebound, causing approximately $1.6 million in losses.
DOJPleaded guiltyMay 1, 2026
Pharmacy Technician Pleads Guilty to $5.6M Health Care Fraud Scheme and Illegal Distribution of Oxycodone
A pharmacy technician and a co-conspirator submitted false claims to health care benefit programs for prescription drugs that were never ordered by a doctor and never dispensed, using forged prescriptions, and he provided unlawful oxycodone prescriptions to drug traffickers for cash.
DOJSentencedNov 24, 2025
Michigan Pharmacist Sentenced to 46 Months in Prison for $4M Health Care Fraud Scheme
Fakih billed Medicare for prescription medications, such as blood thinners and lung disease inhalers, that he did not dispense at the pharmacy he owned and operated, concealing the fraud by manipulating inventory purchases and diverting proceeds for personal use.
DOJSentencedNov 21, 2025
Pharmacist and Brother Sentenced to Prison for $15M Health Care and Wire Fraud Scheme
A pharmacist and his brother, a pharmacy manager, billed Medicare, Medicaid and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated, targeting expensive medications and concealing inventory shortages from auditors.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.