Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAGINAW

NPI: 1043814601 · SAGINAW, MI 48604 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 11/24/2020

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

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

$684K
Total Medicaid Paid
15,366
Total Claims
14,526
Beneficiaries
24
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTS)
NPI Enumeration Date11/24/2020

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
2021 3,092 $138K
2022 4,743 $200K
2023 4,499 $196K
2024 3,032 $150K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,940 3,790 $179K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,596 2,454 $173K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,643 1,631 $143K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,247 1,245 $71K
20610 1,005 913 $28K
73610 701 636 $14K
73630 659 543 $13K
73562 527 471 $11K
73030 601 552 $11K
73564 327 273 $8K
J1040 Injection, methylprednisolone acetate, 80 mg 722 718 $6K
11721 270 270 $5K
73501 303 300 $5K
73502 157 154 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 119 53 $4K
99215 Prolong outpt/office vis 39 38 $3K
J1010 Injection, methylprednisolone acetate, 1 mg 228 223 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 49 47 $1K
73110 61 54 $1K
72100 55 54 $1K
20611 13 12 $668.75
73560 31 25 $396.61
J1030 Injection, methylprednisolone acetate, 40 mg 45 44 $295.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 28 26 $147.90