Physician
Kalkaska Memorial Health Center
Kalkaska Memorial Health Center was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99283, emergency room visit (moderate) — 43% of everything it billed.
33Billing provider infoKALKASKA MEMORIAL HEALTH CENTER
KALKASKA, MI 49646
KALKASKA, MI 49646
33aNPI1013183060assigned 04/30/2008
33bProvider typePediatrics Physician
28Total paid$2.50M
24GClaims46,123
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#55 of 349
Median peer was paid$321K
This provider vs. median7.8×
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 | 6,345 | $279K | |
| 2019 | 6,499 | $298K | |
| 2020 | 5,082 | $251K | |
| 2021 | 7,080 | $382K | |
| 2022 | 7,524 | $448K | |
| 2023 | 7,884 | $491K | |
| 2024incomplete | 5,709 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 43% | 15,897 | 14,770 | $1.07M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 27% | 10,947 | 10,562 | $675K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,792 | 5,478 | $267K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.8% | 1,768 | 1,722 | $120K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.4% | 2,203 | 1,225 | $110K |
| 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 | 2.8% | 1,074 | 1,058 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,373 | 1,343 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 332 | 332 | $27K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 654 | 438 | $26K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 37 | 29 | $24K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,654 | 4,371 | $23K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 378 | 372 | $19K |
15 more codes
| 99285 | Emergency room visit (most serious) | <1% | 85 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 119 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $3K |
| 0002A | <1% | 86 | $3K | |
| 0001A | <1% | 82 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 268 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 26 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 76 | $1K |
| 0003A | <1% | 22 | $643.45 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $528.91 |
| 85018 | <1% | 92 | $195.14 | |
| 90686 | <1% | 44 | $38.06 | |
| 90734 | 0% | 17 | $0.00 | |
| 90651 | 0% | 27 | $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 officialRAYMOND, ANDREW (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Kalkaska Memorial Health Center | Kalkaska, MI | $11.28M |
| Kalkaska Memorial Health Center | Kalkaska, MI | $3.73M |
| Kalkaska Memorial Health Center | Kalkaska, MI | $1.49M |
| Kalkaska Memorial Health Center | Mancelona, MI | $89K |
| Kalkaska Memorial Health Center | Kalkaska, MI | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.