Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER CLARE

NPI: 1073842431 · HARRISON, MI 48625 · Rural Health Clinic/Center · NPI assigned 12/15/2009

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

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

$1.77M
Total Medicaid Paid
62,271
Total Claims
58,374
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER CLARE
NPI Enumeration Date12/15/2009

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 6,763 $191K
2019 7,702 $207K
2020 8,025 $215K
2021 9,286 $267K
2022 9,447 $279K
2023 10,349 $293K
2024 10,699 $317K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 28,390 26,025 $974K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,656 10,839 $257K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,822 7,563 $215K
99215 Prolong outpt/office vis 1,061 1,029 $52K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 942 942 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 865 861 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 627 627 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,379 3,363 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 441 440 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 349 349 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 398 396 $14K
90472 Immunization administration, each additional vaccine (list separately) 1,202 1,199 $12K
90686 1,096 1,096 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 346 334 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,058 1,036 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 461 453 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 718 370 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 114 113 $4K
83036 Hemoglobin; glycosylated (A1C) 690 690 $4K
99205 Prolong outpt/office vis 41 41 $3K
90670 51 51 $2K
90656 77 77 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 54 52 $536.92
99406 88 88 $493.73
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $428.11
81002 263 259 $308.54
81025 12 12 $52.05
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) 44 44 $0.00