Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Gaylord › NPI 1124028972
Hospital

Munson Healthcare Otsego Memorial Hospital

Munson Healthcare Otsego Memorial Hospital was paid $14.27M by Medicaid between Jan 2018 and Dec 2024, across 236 billing codes. Its largest line is 99285, emergency room visit (most serious) — 18% of everything it billed.

33Billing provider infoMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
GAYLORD, MI 49735
33aNPI1124028972assigned 07/22/2005
28Total paid$14.27M
24GClaims529,054
24DCodes billed236
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#56 of 86
Median peer was paid$21.55M
This provider vs. median0.7×

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 KRUSZKA, BONNIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201844,164$1.65M
201972,137$1.73M
202061,128$1.58M
202181,609$2.31M
202292,023$2.52M
202397,336$2.44M
2024incomplete80,657$2.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 18% 9,115 8,239 $2.60M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 13,315 11,338 $2.09M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 16,548 14,081 $1.79M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.4% 7,949 7,326 $774K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.5% 3,570 3,462 $498K
59025 Fetal non-stress test 2.6% 4,037 1,848 $369K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.5% 4,017 3,208 $362K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.1% 13,411 3,821 $303K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.0% 6,998 2,558 $284K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.9% 9,447 3,006 $269K
96375 Therapeutic injection; each additional sequential IV push 1.8% 7,945 6,846 $260K
96361 Intravenous infusion, hydration; each additional hour 1.7% 7,097 6,333 $238K
224 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 3,567 $224K
70450 Computed tomography, head or brain; without contrast material 1.5% 2,364 $221K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 848 $201K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.3% 7,099 $182K
71045 Radiologic examination, chest; single view 1.2% 4,581 $176K
71046 Radiologic examination, chest; 2 views 1.2% 4,682 $174K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.0% 1,432 $145K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,604 $117K
76830 Ultrasound, transvaginal <1% 1,979 $117K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 2,813 $102K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,776 $100K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,677 $94K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 765 $84K
80061 Lipid panel <1% 8,334 $84K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,011 $81K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 5,780 $80K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,615 $79K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,321 $79K
97162 <1% 1,337 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,339 $75K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,386 $73K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 567 $68K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 224 $67K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 160 $63K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,482 $61K
84443 Thyroid stimulating hormone (TSH) <1% 12,163 $60K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,504 $59K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 540 $57K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,318 $56K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 36,529 $53K
80053 Comprehensive metabolic panel <1% 24,307 $52K
74018 <1% 1,687 $52K
73564 <1% 1,352 $48K
G0378 Hospital observation service, per hour <1% 538 $47K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,986 $42K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,535 $41K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 710 $40K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed <1% 731 $39K
73630 <1% 2,015 $39K
86900 <1% 3,148 $37K
73610 <1% 1,614 $33K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,078 $32K
72110 <1% 821 $31K
73130 <1% 1,691 $30K
76801 <1% 523 $30K
76642 <1% 710 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,944 $28K
73030 <1% 1,241 $25K
83036 Hemoglobin; glycosylated (A1C) <1% 7,849 $25K
71275 Computed tomographic angiography, chest, with contrast material <1% 234 $23K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,754 $20K
73110 <1% 941 $20K
76536 <1% 363 $19K
82607 <1% 3,595 $19K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 246 $19K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 161 $18K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 105 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,424 $17K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 92 $16K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,514 $16K
36415 Collection of venous blood by venipuncture <1% 49,722 $16K
86850 <1% 3,864 $15K
82728 <1% 2,716 $14K
87653 <1% 964 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,182 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,829 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,986 $13K
80048 Basic metabolic panel (calcium, ionized) <1% 11,104 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 964 $11K
82746 <1% 1,984 $11K
97166 <1% 219 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,008 $11K
86780 <1% 1,746 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 415 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,938 $10K
74019 <1% 232 $10K
96367 <1% 321 $10K
84439 <1% 3,055 $9K
73502 <1% 466 $8K
83735 <1% 7,715 $8K
72100 <1% 175 $8K
84702 <1% 1,957 $8K
77065 Tomosynthesis, mammo <1% 193 $7K
97535 Self-care/home management training, each 15 minutes <1% 350 $7K
87077 <1% 2,699 $7K
87186 <1% 2,588 $7K
83540 <1% 2,598 $6K
87340 <1% 1,746 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 502 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $5K
72125 Computed tomography, cervical spine; without contrast material <1% 414 $5K
83550 <1% 1,386 $4K
86762 <1% 1,124 $4K
73560 <1% 175 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 648 $4K
97161 <1% 97 $4K
93017 <1% 66 $4K
81003 <1% 13,196 $4K
92523 <1% 27 $4K
81025 <1% 6,854 $3K
86803 <1% 708 $3K
93971 <1% 63 $3K
87631 <1% 627 $3K
93975 <1% 26 $3K
87070 <1% 1,140 $3K
83880 <1% 1,125 $3K
71271 <1% 53 $3K
87015 <1% 990 $3K
80076 <1% 2,793 $3K
86140 <1% 2,346 $3K
85027 <1% 1,129 $2K
77066 Tomosynthesis, mammo <1% 40 $2K
85610 <1% 5,200 $2K
82570 <1% 1,299 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 181 $2K
87210 <1% 1,157 $2K
87480 <1% 260 $2K
87510 <1% 260 $2K
87088 <1% 787 $2K
82043 <1% 1,108 $2K
87660 <1% 259 $2K
87634 <1% 124 $2K
72141 <1% 13 $2K
97016 <1% 363 $2K
86901 <1% 3,146 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 330 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 27 $2K
82950 <1% 780 $2K
74022 <1% 116 $2K
00790 <1% 13 $2K
85652 <1% 2,373 $1K
84481 <1% 185 $1K
73221 <1% 14 $1K
87205 <1% 954 $1K
76770 <1% 24 $1K
81001 <1% 3,490 $1K
83690 <1% 5,236 $1K
97165 <1% 31 $1K
84460 <1% 504 $1K
84450 <1% 489 $968.99
85730 <1% 3,876 $919.98
00731 <1% 12 $751.92
86481 <1% 12 $726.87
12001 <1% 62 $711.41
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 14 $708.03
86039 <1% 162 $662.40
73080 <1% 57 $644.76
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 12 $627.56
73140 <1% 29 $600.42
83001 <1% 81 $583.87
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 170 $565.59
86038 <1% 122 $553.40
86787 <1% 160 $530.67
84153 <1% 94 $505.45
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,797 $457.87
72040 <1% 12 $433.26
82670 <1% 40 $418.89
72072 <1% 12 $407.82
76942 <1% 46 $392.26
86430 <1% 156 $355.79
82150 <1% 368 $343.21
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 517 $306.12
81002 <1% 237 $301.51
87522 Neg quan hep c or qual rna <1% 16 $294.63
73590 <1% 15 $289.98
73090 <1% 13 $288.84
84146 <1% 39 $268.22
85379 <1% 1,154 $260.86
87807 <1% 111 $244.49
87040 <1% 1,480 $228.81
84484 <1% 3,351 $178.89
84703 <1% 857 $178.13
99406 <1% 13 $176.40
83615 <1% 98 $160.50
0240U <1% 327 $142.63
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 51 $142.63
84403 <1% 20 $132.36
82784 <1% 40 $128.90
82565 <1% 86 $115.80
84402 <1% 18 $113.90
83002 <1% 14 $103.88
83605 <1% 1,669 $96.28
86709 <1% 12 $90.94
83516 <1% 13 $80.15
84100 <1% 132 $79.95
83655 <1% 14 $66.26
86706 <1% 12 $51.69
87045 <1% 12 $36.18
85007 <1% 27 $31.49
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,016 $31.35
82962 <1% 115 $28.13
82550 <1% 40 $21.79
82947 <1% 12 $18.18
88304 <1% 184 $13.86
82272 <1% 26 $11.40
85014 <1% 12 $9.21
85018 <1% 12 $9.21
82140 <1% 13 $8.52
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,527 $1.44
J7120 Ringers lactate infusion, up to 1000 cc 0% 2,473 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 51 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 853 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 411 $0.00
84145 0% 223 $0.00
97150 Therapeutic procedure(s), group (2 or more individuals) 0% 301 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 13 $0.00
94729 0% 12 $0.00
82542 0% 41 $0.00
90715 0% 14 $0.00
87530 0% 21 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 17 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 1,725 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,020 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 803 $0.00
94761 0% 3,947 $0.00
96376 0% 2,103 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 1,710 $0.00
A9270 Non-covered item or service 0% 47 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 239 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 165 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 69 $0.00
96368 0% 15 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 14 $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 officialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
Same official

Other billing entities under KRUSZKA, BONNIE

Full network →
ProviderLocationPaid
Munson Healthcare Otsego Memorial HospitalGaylord, MI$6.20M
Munson Healthcare GraylingGrayling, MI$4.84M
Munson Healthcare CadillacCadillac, MI$3.67M
Munson Healthcare Otsego Memorial HospitalIndian River, MI$3.42M
Munson Healthcare Manistee HospitalManistee, MI$2.99M
Munson Healthcare Otsego Memorial HospitalGaylord, MI$1.91M
Munson Healthcare GraylingPrudenville, MI$1.90M
Munson Healthcare Charlevoix HospitalCharlevoix, MI$1.84M
Munson Medical GroupTraverse City, MI$1.83M
Munson Healthcare Otsego Memorial HospitalGaylord, MI$1.31M
Munson Healthcare CadillacCadillac, MI$1.23M
Munson Healthcare Charlevoix HospitalBoyne City, MI$1.18M
Munson Medical CenterTraverse City, MI$1.16M
Munson Medical CenterTraverse City, MI$1.07M
Munson Healthcare Manistee HospitalManistee, MI$1.06M
Munson Medical GroupTraverse City, MI$1.02M
Munson Healthcare GraylingRoscommon, MI$901K
Munson Healthcare Otsego Memorial HospitalLewiston, MI$797K
Munson Medical CenterTraverse City, MI$743K
Munson Medical CenterTraverse City, MI$694K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.