Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER GLADWIN

NPI: 1093044067 · GLADWIN, MI 48624 · Rural Health Clinic/Center · NPI assigned 12/21/2009

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

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

$3.62M
Total Medicaid Paid
134,601
Total Claims
123,016
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER GLADWIN
NPI Enumeration Date12/21/2009

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 13,491 $371K
2019 16,684 $418K
2020 16,155 $377K
2021 19,662 $528K
2022 22,746 $631K
2023 23,296 $644K
2024 22,567 $651K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,105 49,742 $2.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,192 29,923 $619K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,759 12,322 $346K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,109 11,730 $86K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,207 2,165 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,051 3,163 $42K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 863 861 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 596 595 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 816 809 $19K
99215 Prolong outpt/office vis 525 512 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,157 1,152 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 510 502 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,030 2,017 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 227 226 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 225 225 $8K
90686 648 648 $8K
83036 Hemoglobin; glycosylated (A1C) 1,231 1,231 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 735 695 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 157 157 $4K
90472 Immunization administration, each additional vaccine (list separately) 357 356 $3K
81002 2,372 2,324 $3K
71046 Radiologic examination, chest; 2 views 346 339 $3K
90837 Psychotherapy, 53 minutes with patient 58 41 $2K
90656 83 83 $2K
36415 Collection of venous blood by venipuncture 670 655 $1K
0012A 29 29 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 91 85 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $1K
0011A 25 25 $870.36
90715 39 39 $637.22
90834 Psychotherapy, 45 minutes with patient 19 15 $532.50
73630 30 29 $219.30
99406 24 24 $96.28
81025 24 24 $77.72
73130 12 12 $25.29
91301 50 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) 205 187 $0.00