Mclaren Bay Region
Mclaren Bay Region was paid $40K by Medicaid between Jan 2018 and Aug 2020, across 10 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 28% of everything it billed.
BAY CITY, MI 48708
Next to other Internal Medicine Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,029 | $32K | |
| 2019 | 73 | $3K | |
| 2020 | 39 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 28% | 95 | 40 | $11K |
| 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 | 25% | 229 | 217 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 158 | 153 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.6% | 120 | 68 | $4K |
| 94726 | 6.2% | 200 | 188 | $2K | |
| 94729 | 5.9% | 202 | 192 | $2K | |
| 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 | 5.1% | 26 | 26 | $2K |
| 94060 | 3.6% | 83 | 83 | $1K | |
| 99223 | Prolong inpt eval add15 m | 3.0% | 13 | 12 | $1K |
| 94010 | <1% | 15 | 15 | $163.46 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mclaren Bay Region | Bay City, MI | $31.72M |
| Mclaren Bay Region | Bay City, MI | $9.34M |
| Mclaren Bay Region | Bay City, MI | $937K |
| Mclaren Bay Region | Essexville, MI | $288K |
| Mclaren Primary Care | West Branch, MI | $250K |
| Mclaren Primary Care | Saint Helen, MI | $115K |
| Mclaren Bay Region | Saginaw, MI | $101K |
| Mclaren Primary Care | Alger, MI | $99K |
| Mclaren Primary Care | Mio, MI | $67K |
| Mclaren Primary Care | Rose City, MI | $42K |
| Mclaren Primary Care | West Branch, MI | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.