Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1013285865 · MOUNT PLEASANT, MI 48858 · Rural Health Clinic/Center · NPI assigned 12/08/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more

$2.89M
Total Medicaid Paid
100,608
Total Claims
91,855
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date12/08/2011

Related Entities

Other providers sharing the same authorized official: JAMES, SARAH

ProviderCityStateTotal Paid
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $50.05M
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $38.70M
MYMICHIGAN MEDICAL CENTER ALMA ALMA MI $25.31M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $24.37M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $21.24M
MYMICHIGAN MEDICAL CENTER CLARE CLARE MI $17.66M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $13.47M
MYMICHIGAN MEDICAL CENTER GLADWIN GLADWIN MI $10.43M
MYMICHIGAN MEDICAL CENTER TAWAS TAWAS CITY MI $9.11M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $8.12M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $7.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $5.09M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $3.78M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $2.89M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $2.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $2.08M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $1.97M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $1.62M
MYMICHIGAN MEDICAL CENTER SAGINAW VASSAR MI $1.09M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $967K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,350 $302K
2019 16,661 $439K
2020 14,362 $361K
2021 15,495 $444K
2022 14,356 $438K
2023 14,923 $460K
2024 13,461 $450K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 43,698 37,765 $1.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,048 13,889 $521K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,726 11,818 $336K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,653 2,649 $142K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,075 3,003 $114K
99215 Prolong outpt/office vis 1,510 1,417 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,202 1,202 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,300 1,274 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,189 6,140 $44K
90472 Immunization administration, each additional vaccine (list separately) 3,415 3,399 $42K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 751 747 $21K
90837 Psychotherapy, 53 minutes with patient 228 173 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 110 110 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 153 153 $7K
90686 1,002 1,000 $7K
90474 1,536 1,531 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 265 260 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 801 787 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 764 409 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 245 239 $4K
90670 904 903 $3K
99205 Prolong outpt/office vis 44 42 $2K
90834 Psychotherapy, 45 minutes with patient 46 38 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 77 77 $1K
82962 576 559 $1K
90656 69 69 $1K
0001A 24 13 $908.40
90791 Psychiatric diagnostic evaluation 12 12 $886.48
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $809.01
99382 12 12 $746.88
99188 120 117 $583.11
83036 Hemoglobin; glycosylated (A1C) 64 64 $411.70
99243 14 14 $341.70
83655 41 41 $306.81
D0190 12 12 $119.12
99406 24 24 $88.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $82.32
85018 53 53 $77.30
81002 69 68 $76.13
90680 502 500 $0.00
90723 494 493 $0.00
90647 611 611 $0.00
90633 63 63 $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) 13 12 $0.00
90685 26 26 $0.00
90710 41 41 $0.00