Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1023097771 · ALMA, MI 48801 · Specialty Pharmacy · NPI assigned 01/11/2006

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

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

$25.31M
Total Medicaid Paid
987,294
Total Claims
855,159
Beneficiaries
304
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date01/11/2006

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 129,488 $3.24M
2019 154,776 $3.51M
2020 137,117 $3.21M
2021 181,406 $4.63M
2022 196,505 $5.14M
2023 118,100 $3.37M
2024 69,902 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 25,961 24,072 $4.91M
99283 Emergency department visit for the evaluation and management, moderate severity 28,486 27,092 $3.43M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,155 9,358 $3.22M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,146 12,754 $1.39M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,925 5,693 $837K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 8,596 6,714 $795K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,846 9,553 $723K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 27,689 8,515 $652K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,100 9,624 $622K
70450 Computed tomography, head or brain; without contrast material 4,785 4,609 $492K
96361 Intravenous infusion, hydration; each additional hour 15,019 12,768 $482K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,446 4,126 $443K
96375 Therapeutic injection; each additional sequential IV push 13,313 11,394 $420K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17,693 16,951 $388K
71046 Radiologic examination, chest; 2 views 9,914 9,428 $353K
59025 Fetal non-stress test 3,735 2,176 $338K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,472 1,447 $319K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,733 2,626 $285K
71045 Radiologic examination, chest; single view 5,532 5,290 $228K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,602 1,890 $228K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,184 554 $215K
71275 Computed tomographic angiography, chest, with contrast material 2,150 2,059 $211K
95810 Polysomnography; sleep staging with 4 or more additional parameters 437 430 $205K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 14,187 5,007 $199K
77067 Screening mammography, bilateral, including computer-aided detection 3,469 3,451 $173K
76830 Ultrasound, transvaginal 2,696 2,650 $161K
80061 Lipid panel 10,420 10,303 $144K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,369 2,307 $139K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,758 2,198 $138K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,832 1,779 $137K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,293 2,266 $129K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,215 2,435 $125K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 352 346 $124K
94060 817 807 $109K
97161 1,912 1,892 $103K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 635 342 $100K
71260 Computed tomography, thorax, diagnostic; with contrast material 830 815 $96K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,040 2,198 $88K
97162 1,568 1,530 $78K
76801 1,222 1,100 $75K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 346 345 $72K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,166 1,158 $70K
G0378 Hospital observation service, per hour 2,998 1,878 $70K
G0379 Direct admission of patient for hospital observation care 107 104 $69K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,433 6,325 $66K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,377 6,278 $66K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,429 1,401 $64K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,383 13,692 $54K
93971 943 911 $53K
84443 Thyroid stimulating hormone (TSH) 17,270 16,607 $51K
80053 Comprehensive metabolic panel 50,866 44,189 $50K
96367 1,328 850 $50K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 427 423 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55,151 46,370 $39K
72100 1,125 1,112 $37K
73630 3,081 2,878 $36K
76857 648 636 $36K
77063 Screening digital breast tomosynthesis, bilateral 2,486 2,479 $33K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,764 3,725 $30K
76770 505 491 $29K
76536 521 516 $28K
72125 Computed tomography, cervical spine; without contrast material 1,739 1,700 $27K
36591 512 311 $27K
72131 531 526 $26K
73030 1,829 1,757 $26K
73564 1,566 1,480 $26K
86900 3,319 3,020 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,553 4,318 $25K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 532 465 $23K
73610 2,208 2,082 $22K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 57 53 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,032 1,016 $22K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 2,716 2,709 $21K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 145 144 $20K
73130 2,194 2,068 $20K
93225 468 465 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,569 3,452 $18K
83036 Hemoglobin; glycosylated (A1C) 8,213 8,138 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,825 7,614 $18K
76642 387 383 $17K
82607 4,407 4,280 $17K
97116 1,201 557 $16K
73110 1,342 1,258 $16K
36415 Collection of venous blood by venipuncture 53,636 46,037 $16K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 285 282 $15K
74018 1,157 1,111 $14K
82728 4,416 4,237 $14K
87086 Culture, bacterial; quantitative colony count, urine 11,736 11,061 $14K
71271 202 202 $13K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,991 1,990 $13K
87653 1,216 1,213 $12K
97597 181 74 $12K
73562 453 438 $12K
73502 699 658 $11K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 1,167 1,165 $10K
82746 2,597 2,497 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 137 132 $8K
87808 2,698 2,658 $8K
86803 2,273 2,261 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 859 832 $8K
70491 81 76 $8K
70496 128 123 $8K
80306 5,980 5,520 $8K
84439 4,110 4,009 $8K
80048 Basic metabolic panel (calcium, ionized) 7,010 6,137 $7K
83550 3,585 3,445 $7K
87081 10,205 9,955 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $7K
71250 160 158 $7K
84702 2,798 2,118 $7K
93017 180 178 $7K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 6,631 5,846 $6K
J7030 Infusion, normal saline solution , 1000 cc 19,070 15,350 $6K
80074 583 580 $6K
97533 210 65 $6K
64493 14 12 $6K
87186 4,208 3,975 $6K
83540 3,950 3,792 $6K
88342 391 382 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $6K
85027 4,076 3,850 $5K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 343 342 $5K
82951 1,097 1,067 $5K
81001 29,805 27,036 $5K
73080 397 382 $4K
88304 1,003 983 $4K
80055 298 298 $4K
72141 24 24 $4K
70486 93 92 $4K
87088 3,181 3,058 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $4K
78227 14 13 $4K
87077 2,855 2,698 $4K
82043 2,366 2,354 $3K
83735 12,260 10,741 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,805 8,347 $3K
86592 1,990 1,968 $3K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 194 191 $3K
87070 1,801 1,778 $3K
74183 12 12 $3K
87075 1,947 1,816 $3K
83880 3,491 3,238 $3K
86140 9,006 8,077 $2K
72040 80 80 $2K
87340 1,392 1,371 $2K
86038 807 798 $2K
84146 513 497 $2K
72110 136 133 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,349 2,723 $2K
85610 8,005 6,759 $2K
73590 347 329 $2K
87220 2,318 2,273 $2K
87205 1,996 1,955 $2K
80076 977 855 $2K
77066 Tomosynthesis, mammo 29 29 $2K
92523 12 12 $2K
83970 117 113 $2K
74019 79 77 $2K
93970 14 13 $2K
85730 4,218 3,868 $1K
83690 10,548 9,513 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 246 246 $1K
97163 28 28 $1K
87276 11,013 10,665 $1K
82570 969 945 $1K
85652 3,735 3,528 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 726 634 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 66 66 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 94 94 $1K
84100 1,302 1,076 $1K
29515 14 14 $1K
96417 22 12 $1K
81025 11,272 10,521 $1K
86850 3,053 2,776 $1K
82784 233 219 $1K
87275 11,013 10,665 $1K
86703 534 520 $968.86
87430 8,284 8,106 $943.65
82550 1,372 1,225 $785.19
73090 245 232 $781.93
84481 155 154 $754.87
77080 12 12 $716.77
84703 3,370 3,265 $668.30
84403 84 82 $659.52
77065 Tomosynthesis, mammo 13 12 $600.32
74022 203 200 $600.22
87427 127 107 $583.48
87807 3,609 3,509 $547.65
86431 409 403 $498.46
70498 102 99 $483.43
94726 340 338 $442.01
84550 458 430 $423.28
82565 298 266 $422.96
82947 350 338 $416.75
72072 12 12 $407.82
83615 427 368 $399.76
83516 99 92 $367.02
85379 4,187 4,009 $360.44
83001 81 81 $335.91
G0297 Low dose ct scan (ldct) for lung cancer screening 14 12 $316.20
85576 40 40 $301.03
86901 3,317 3,019 $299.09
76870 13 13 $285.20
81002 467 456 $270.27
90715 659 657 $244.44
82105 42 42 $243.76
82140 219 199 $241.30
87046 108 108 $237.12
87045 108 108 $237.12
84153 38 38 $236.04
J7120 Ringers lactate infusion, up to 1000 cc 3,505 3,225 $228.00
86762 436 423 $214.84
83605 10,225 9,129 $153.34
87040 2,523 2,166 $151.52
84480 39 39 $148.33
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14 14 $131.04
84484 9,884 8,188 $130.63
71101 13 12 $129.68
82670 12 12 $123.33
86141 25 24 $116.83
82248 110 78 $113.81
85046 74 67 $109.13
82962 8,175 6,120 $104.84
86308 431 428 $101.39
84145 1,948 1,839 $100.62
51798 290 283 $97.79
84156 91 87 $88.10
80164 28 28 $59.72
86200 12 12 $56.43
84520 42 37 $52.36
87338 12 12 $45.45
12001 551 549 $42.36
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 333 195 $36.59
87449 14 14 $30.12
87324 25 25 $30.12
86706 12 12 $26.72
82310 14 13 $22.93
80069 16 13 $21.03
J1885 Injection, ketorolac tromethamine, per 15 mg 11,686 10,332 $20.76
82010 393 361 $20.13
82040 13 13 $18.75
29125 63 61 $17.35
85018 49 42 $12.15
85014 32 27 $11.59
82803 599 571 $10.65
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,295 10,840 $9.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,810 6,245 $8.99
J3010 Injection, fentanyl citrate, 0.1 mg 3,838 3,480 $7.56
J2270 Injection, morphine sulfate, up to 10 mg 4,959 3,596 $5.64
J1170 Injection, hydromorphone, up to 4 mg 4,789 3,420 $3.86
A9270 Non-covered item or service 2,652 2,080 $2.10
J0690 Injection, cefazolin sodium, 500 mg 1,233 973 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,709 1,613 $0.00
J2060 Injection, lorazepam, 2 mg 1,273 1,045 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 3,478 3,194 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 752 719 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 998 890 $0.00
96376 3,558 2,670 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,937 1,748 $0.00
J7050 Infusion, normal saline solution, 250 cc 2,711 2,003 $0.00
J1630 Injection, haloperidol, up to 5 mg 350 314 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,071 1,040 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 3,093 2,640 $0.00
J3480 Injection, potassium chloride, per 2 meq 201 141 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,248 1,084 $0.00
J2704 Injection, propofol, 10 mg 1,308 1,291 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 174 166 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 16 15 $0.00
96368 243 209 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 28 27 $0.00
J2805 Injection, sincalide, 5 micrograms 13 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 105 99 $0.00
J3360 Injection, diazepam, up to 5 mg 14 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 22 17 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 31 13 $0.00
J2785 Injection, regadenoson, 0.1 mg 12 12 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 20 12 $0.00
64494 19 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $0.00
C9113 Injection, pantoprazole sodium, per vial 643 501 $0.00
J1756 Injection, iron sucrose, 1 mg 372 157 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 503 478 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 991 836 $0.00
93226 468 465 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,228 3,662 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,307 1,106 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,804 1,604 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 29 29 $0.00
J3370 Injection, vancomycin hcl, 500 mg 23 12 $0.00
94729 395 393 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 239 178 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 68 55 $0.00
86318 26 26 $0.00
J1644 Injection, heparin sodium, per 1000 units 331 131 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 39 39 $0.00
J1171 Injection, hydromorphone, 0.1 mg 102 76 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 26 25 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 57 44 $0.00
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 35 27 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 44 44 $0.00
12011 13 13 $0.00
J1956 Injection, levofloxacin, 250 mg 13 12 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 17 12 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 14 14 $0.00