Medicaid Provider Spending

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

NPI: 1164628426 · GAYLORD, MI 49735 · General Practice Physician · NPI assigned 06/25/2007

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

Authorized official KRUSZKA, BONNIE controls 20+ related entities in our dataset. Read more

$6.20M
Total Medicaid Paid
212,732
Total Claims
198,748
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
NPI Enumeration Date06/25/2007

Related Entities

Other providers sharing the same authorized official: KRUSZKA, BONNIE

ProviderCityStateTotal Paid
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $14.27M
MUNSON HEALTHCARE GRAYLING GRAYLING MI $4.84M
MUNSON HEALTHCARE CADILLAC CADILLAC MI $3.67M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL INDIAN RIVER MI $3.42M
MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE MI $2.99M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $1.91M
MUNSON HEALTHCARE GRAYLING PRUDENVILLE MI $1.90M
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL CHARLEVOIX MI $1.84M
MUNSON MEDICAL GROUP TRAVERSE CITY MI $1.83M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $1.31M
MUNSON HEALTHCARE CADILLAC CADILLAC MI $1.23M
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL BOYNE CITY MI $1.18M
MUNSON MEDICAL CENTER TRAVERSE CITY MI $1.16M
MUNSON MEDICAL CENTER TRAVERSE CITY MI $1.07M
MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE MI $1.06M
MUNSON MEDICAL GROUP TRAVERSE CITY MI $1.02M
MUNSON HEALTHCARE GRAYLING ROSCOMMON MI $901K
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL LEWISTON MI $797K
MUNSON MEDICAL CENTER TRAVERSE CITY MI $743K
MUNSON MEDICAL CENTER TRAVERSE CITY MI $694K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,747 $1.19M
2019 33,890 $979K
2020 29,052 $821K
2021 30,689 $920K
2022 29,169 $923K
2023 27,622 $756K
2024 21,563 $612K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 88,243 78,364 $3.85M
59426 1,169 858 $610K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,009 30,803 $483K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,588 21,620 $482K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,650 4,644 $145K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,166 5,118 $104K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,952 2,952 $88K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,037 3,019 $71K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,938 1,930 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,888 1,869 $58K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,912 1,909 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,496 1,493 $44K
59430 509 508 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,986 1,903 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 6,017 6,009 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,107 3,100 $15K
J1050 Injection, medroxyprogesterone acetate, 1 mg 206 205 $12K
90472 Immunization administration, each additional vaccine (list separately) 1,042 1,037 $9K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 776 774 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,633 1,553 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 391 389 $4K
17110 140 129 $4K
90670 2,948 2,946 $4K
90686 1,377 1,375 $3K
81025 1,269 1,257 $3K
90715 438 437 $3K
99381 84 84 $2K
90688 437 437 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,006 1,006 $2K
81001 796 741 $1K
90677 346 345 $884.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 229 229 $848.12
99406 210 210 $768.00
90474 223 223 $735.53
90656 76 76 $725.75
81002 863 844 $713.97
99383 26 26 $668.84
90651 206 206 $464.41
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 31 $324.80
92551 132 131 $271.46
99459 52 52 $174.51
83036 Hemoglobin; glycosylated (A1C) 29 29 $48.24
96127 1,626 1,614 $37.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $27.84
85610 16 13 $14.20
98966 17 12 $6.57
90723 1,541 1,541 $0.00
90716 247 247 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 20 13 $0.00
0500F 33 33 $0.00
90647 1,576 1,576 $0.00
90698 843 842 $0.00
90680 1,790 1,790 $0.00
90696 261 261 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 836 835 $0.00
3074F 41 41 $0.00
3075F 40 39 $0.00
90744 30 30 $0.00
90697 31 31 $0.00
3080F 15 13 $0.00
3044F 37 37 $0.00
3079F 54 52 $0.00
90461 4,459 4,454 $0.00
90734 348 348 $0.00
90633 1,529 1,529 $0.00
90710 409 409 $0.00
90700 311 311 $0.00
90648 358 357 $0.00
90685 78 78 $0.00
90707 274 274 $0.00
90681 267 267 $0.00
3078F 48 48 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 723 713 $0.00
0502F 182 42 $0.00
3077F 17 15 $0.00