Clinic
Mymichigan Medical Center Gladwin
Mymichigan Medical Center Gladwin was paid $3.62M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER GLADWIN
GLADWIN, MI 48624
GLADWIN, MI 48624
33aNPI1093044067assigned 12/21/2009
33bProvider typeRural Health Clinic/Center
28Total paid$3.62M
24GClaims134,601
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#11 of 193
Median peer was paid$426K
This provider vs. median8.5×
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 JAMES, SARAH 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 | |
|---|---|---|---|
| 2018 | 13,491 | $371K | |
| 2019 | 16,684 | $418K | |
| 2020 | 16,155 | $377K | |
| 2021 | 19,662 | $528K | |
| 2022 | 22,746 | $631K | |
| 2023 | 23,296 | $644K | |
| 2024incomplete | 22,567 | $651K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 63% | 55,105 | 49,742 | $2.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 32,192 | 29,923 | $619K |
| 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 | 9.5% | 12,759 | 12,322 | $346K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 12,109 | 11,730 | $86K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 2,207 | 2,165 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 6,051 | 3,163 | $42K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 863 | 861 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 596 | 595 | $20K |
| 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% | 816 | 809 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 525 | 512 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,157 | 1,152 | $18K |
| 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 | <1% | 510 | 502 | $15K |
25 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,030 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 227 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 225 | $8K |
| 90686 | <1% | 648 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,231 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 735 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 157 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 357 | $3K |
| 81002 | <1% | 2,372 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 346 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 58 | $2K |
| 90656 | <1% | 83 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 670 | $1K |
| 0012A | <1% | 29 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 91 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $1K |
| 0011A | <1% | 25 | $870.36 | |
| 90715 | <1% | 39 | $637.22 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 19 | $532.50 |
| 73630 | <1% | 30 | $219.30 | |
| 99406 | <1% | 24 | $96.28 | |
| 81025 | <1% | 24 | $77.72 | |
| 73130 | <1% | 12 | $25.29 | |
| 91301 | 0% | 50 | $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% | 205 | $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 officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent organizationMYMICHIGAN MEDICAL CENTER GLADWIN
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.