Mclaren Primary Care
Mclaren Primary Care was paid $250K by Medicaid between Jan 2018 and Aug 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
WEST BRANCH, MI 48661
Next to other Family Medicine Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,429 | $103K | |
| 2019 | 6,032 | $91K | |
| 2020 | 3,618 | $56K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 4,050 | 3,741 | $111K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 5,795 | 5,287 | $90K |
| 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 | 8.9% | 530 | 509 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 227 | 225 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 86 | 85 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 417 | 412 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 705 | 689 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | 29 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 327 | 292 | $1K |
| 90686 | <1% | 45 | 44 | $608.96 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $436.74 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $430.90 |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $202.88 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $154.56 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 35 | $27.42 |
| 81003 | <1% | 12 | $3.74 | |
| 3008F | 0% | 3,751 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mclaren Bay Region | Bay City, MI | $31.72M |
| Mclaren Bay Region | Bay City, MI | $9.34M |
| Mclaren Bay Region | Bay City, MI | $937K |
| Mclaren Bay Region | Essexville, MI | $288K |
| Mclaren Primary Care | Saint Helen, MI | $115K |
| Mclaren Bay Region | Saginaw, MI | $101K |
| Mclaren Primary Care | Alger, MI | $99K |
| Mclaren Primary Care | Mio, MI | $67K |
| Mclaren Primary Care | Rose City, MI | $42K |
| Mclaren Bay Region | Bay City, MI | $40K |
| Mclaren Primary Care | West Branch, MI | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.