Clinic
Mymichigan Medical Center Alpena
Mymichigan Medical Center Alpena was paid $1.26M by Medicaid between Jan 2019 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER ALPENA
ALPENA, MI 49707
ALPENA, MI 49707
33aNPI1144722604assigned 03/01/2018
33bProvider typeRural Health Clinic/Center
28Total paid$1.26M
24GClaims49,275
24DCodes billed25
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#48 of 193
Median peer was paid$426K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2019 | 6,914 | $169K | |
| 2020 | 7,164 | $160K | |
| 2021 | 11,079 | $254K | |
| 2022 | 9,271 | $243K | |
| 2023 | 8,385 | $238K | |
| 2024incomplete | 6,462 | $199K |
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 | 71% | 23,602 | 21,316 | $896K |
| 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 | 16% | 11,544 | 10,710 | $204K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 6,974 | 6,584 | $84K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 765 | 764 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 557 | 556 | $14K |
| 90686 | <1% | 720 | 719 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,011 | 2,005 | $8K |
| 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% | 225 | 224 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 191 | 191 | $4K |
| 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% | 141 | 140 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 151 | 150 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | 101 | $2K |
13 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 461 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 544 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 354 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $858.13 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $652.48 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 135 | $610.17 |
| 90656 | <1% | 33 | $608.00 | |
| 81002 | <1% | 462 | $342.69 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $195.44 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 13 | $175.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 151 | $155.71 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 58 | $50.90 |
| 81025 | <1% | 12 | $29.59 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.