Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAGINAW

NPI: 1073084141 · SAGINAW, MI 48604 · Gastroenterology Physician · NPI assigned 12/16/2018

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

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

$749K
Total Medicaid Paid
10,115
Total Claims
10,034
Beneficiaries
13
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date12/16/2018

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
2019 1,583 $107K
2020 1,509 $105K
2021 1,939 $144K
2022 2,020 $157K
2023 2,017 $153K
2024 1,047 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,462 1,455 $183K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,496 2,490 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,590 1,584 $100K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 923 923 $90K
45380 Colonoscopy, flexible; with biopsy, single or multiple 916 908 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,530 1,517 $68K
99222 Initial hospital care, per day, moderate complexity 561 551 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 190 $16K
43235 257 251 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 105 $6K
99223 Prolong inpt eval add15 m 18 17 $2K
99232 Subsequent hospital care, per day, moderate complexity 26 15 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 41 28 $612.92