Clinic
Mackinac Straits Health System INC
Mackinac Straits Health System INC was paid $793K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoMACKINAC STRAITS HEALTH SYSTEM INC
SAINT IGNACE, MI 49781
SAINT IGNACE, MI 49781
33aNPI1013172493assigned 07/24/2008
33bProvider typeRural Health Clinic/Center
28Total paid$793K
24GClaims43,079
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#70 of 193
Median peer was paid$426K
This provider vs. median1.9×
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 | 3,795 | $112K | |
| 2019 | 3,530 | $147K | |
| 2020 | 8,177 | $111K | |
| 2021 | 13,743 | $124K | |
| 2022 | 9,040 | $94K | |
| 2023 | 2,467 | $98K | |
| 2024incomplete | 2,327 | $106K |
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 | 64% | 10,842 | 9,472 | $511K |
| 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% | 4,924 | 4,343 | $158K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 3,425 | 2,947 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 604 | 577 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 454 | 431 | $10K |
| 99442 | <1% | 49 | 48 | $676.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 89 | 86 | $243.99 |
| 90686 | <1% | 26 | 26 | $195.25 | |
| 99441 | <1% | 24 | 24 | $190.08 | |
| 99406 | <1% | 28 | 27 | $187.44 | |
| 96127 | <1% | 74 | 72 | $149.62 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 24 | 24 | $127.80 |
24 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 48 | $120.84 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 19 | $65.83 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49 | $9.20 |
| 1159F | 0% | 2,706 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 941 | $0.00 |
| 3078F | 0% | 1,340 | $0.00 | |
| 3077F | 0% | 569 | $0.00 | |
| 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) | 0% | 19 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 13 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 19 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 90670 | 0% | 15 | $0.00 | |
| 2010F | 0% | 2,714 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,676 | $0.00 |
| 1000F | 0% | 1,444 | $0.00 | |
| 3075F | 0% | 422 | $0.00 | |
| 2000F | 0% | 2,662 | $0.00 | |
| 3074F | 0% | 1,638 | $0.00 | |
| 1125F | 0% | 1,013 | $0.00 | |
| 1126F | 0% | 1,470 | $0.00 | |
| 3079F | 0% | 923 | $0.00 | |
| 3080F | 0% | 326 | $0.00 | |
| 3008F | 0% | 2,457 | $0.00 | |
| 99172 | 0% | 20 | $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 officialSPRAGUE, SONJA (CREDENTIALING)
Parent organizationMACKINAC STRAITS HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| Mackinac Straits Health System INC | Saint Ignace, MI | $1.12M |
| Mackinac Straits Health System INC | Cheboygan, MI | $526K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.