Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER CLARE

NPI: 1134394026 · CLARE, MI 48617 · Internal Medicine Physician · NPI assigned 04/23/2008

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

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

$132K
Total Medicaid Paid
7,540
Total Claims
6,731
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date04/23/2008

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 1,410 $17K
2019 885 $9K
2020 1,171 $10K
2021 1,539 $19K
2022 363 $10K
2023 546 $26K
2024 1,626 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 683 658 $30K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,027 4,528 $25K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 597 596 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 339 331 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 472 217 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 218 216 $12K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 19 19 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99284 Emergency department visit for the evaluation and management, high severity 16 16 $911.11
99283 Emergency department visit for the evaluation and management, moderate severity 12 12 $650.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 39 $570.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 27 $478.50
93016 24 24 $299.48
93018 36 36 $283.35