Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALPENA

NPI: 1144722604 · ALPENA, MI 49707 · Rural Health Clinic/Center · NPI assigned 03/01/2018

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

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

$1.26M
Total Medicaid Paid
49,275
Total Claims
45,577
Beneficiaries
25
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date03/01/2018

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
2019 6,914 $169K
2020 7,164 $160K
2021 11,079 $254K
2022 9,271 $243K
2023 8,385 $238K
2024 6,462 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,602 21,316 $896K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,544 10,710 $204K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,974 6,584 $84K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 765 764 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 557 556 $14K
90686 720 719 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,011 2,005 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 225 224 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 191 191 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 141 140 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 151 150 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 101 101 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 461 455 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 544 461 $2K
90472 Immunization administration, each additional vaccine (list separately) 354 353 $2K
99215 Prolong outpt/office vis 34 33 $858.13
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24 24 $652.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 135 73 $610.17
90656 33 33 $608.00
81002 462 449 $342.69
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $195.44
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 13 13 $175.83
36415 Collection of venous blood by venipuncture 151 149 $155.71
J1885 Injection, ketorolac tromethamine, per 15 mg 58 50 $50.90
81025 12 12 $29.59