Clinic
Mclaren Central Michigan
Mclaren Central Michigan was paid $691K by Medicaid between Sep 2020 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMCLAREN CENTRAL MICHIGAN
WEST BRANCH, MI 48661
WEST BRANCH, MI 48661
33aNPI1033732391assigned 05/21/2020
33bProvider typeRural Health Clinic/Center
28Total paid$691K
24GClaims28,224
24DCodes billed20
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#75 of 193
Median peer was paid$426K
This provider vs. median1.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SOULES, TARA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 1,448 | $16K | |
| 2021 | 5,040 | $103K | |
| 2022 | 6,156 | $160K | |
| 2023 | 8,607 | $235K | |
| 2024incomplete | 6,973 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 7,704 | 7,203 | $324K |
| 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 | 34% | 4,003 | 3,783 | $232K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.0% | 13,396 | 12,236 | $49K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 242 | 238 | $19K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 219 | 217 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 163 | 163 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 111 | 111 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 111 | 111 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 67 | 67 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 574 | 573 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 84 | 83 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | 26 | $2K |
8 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 226 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 90 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 146 | $687.33 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $671.52 |
| 90686 | <1% | 71 | $639.22 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $8.84 |
| 3008F | 0% | 822 | $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% | 143 | $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 officialSOULES, TARA (VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Central Michigan | Mt Pleasant, MI | $14.87M |
| Mclaren Central Michigan | Mount Pleasant, MI | $2.76M |
| Mclaren Central Michigan | Petoskey, MI | $1.23M |
| Mclaren Central Michigan | Cheboygan, MI | $218K |
| Mclaren Central Michigan | Mt Pleasant, MI | $180K |
| Mclaren Central Michigan | Gaylord, MI | $177K |
| Mclaren Central Michigan | Mt Pleasant, MI | $168K |
| Mclaren Central Michigan | Saint Helen, MI | $148K |
| Mclaren Central Michigan | Mt Pleasant, MI | $141K |
| Mclaren Central Michigan | Mio, MI | $129K |
| Mclaren Central Michigan | Mt Pleasant, MI | $101K |
| Mclaren Central Michigan | Mt Pleasant, MI | $96K |
| Mclaren Central Michigan | Brown City, MI | $71K |
| Mclaren Central Michigan | Alger, MI | $69K |
| Mclaren Central Michigan | Petoskey, MI | $68K |
| Mclaren Central Michigan | Clare, MI | $65K |
| Mclaren Central Michigan | Bad Axe, MI | $61K |
| Mclaren Central Michigan | Standish, MI | $61K |
| Mclaren Central Michigan | Okemos, MI | $56K |
| Mclaren Central Michigan | Rose City, MI | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.