Physician
Munson Healthcare Otsego Memorial Hospital
Munson Healthcare Otsego Memorial Hospital was paid $6.20M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
GAYLORD, MI 49735
GAYLORD, MI 49735
33aNPI1164628426assigned 06/25/2007
33bProvider typeGeneral Practice Physician
28Total paid$6.20M
24GClaims212,732
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Michigan
Rank by total paid#4 of 91
Median peer was paid$81K
This provider vs. median76×
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 KRUSZKA, BONNIE 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 21,563 | $612K |
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 | 62% | 88,243 | 78,364 | $3.85M |
| 59426 | 9.8% | 1,169 | 858 | $610K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 33,009 | 30,803 | $483K |
| 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 | 7.8% | 22,588 | 21,620 | $482K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 4,650 | 4,644 | $145K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 5,166 | 5,118 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 2,952 | 2,952 | $88K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 3,037 | 3,019 | $71K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 1,938 | 1,930 | $69K |
| 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% | 1,888 | 1,869 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,912 | 1,909 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,496 | 1,493 | $44K |
63 more codes
| 59430 | <1% | 509 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,986 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,017 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,107 | $15K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 206 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,042 | $9K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 776 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,633 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 391 | $4K |
| 17110 | <1% | 140 | $4K | |
| 90670 | <1% | 2,948 | $4K | |
| 90686 | <1% | 1,377 | $3K | |
| 81025 | <1% | 1,269 | $3K | |
| 90715 | <1% | 438 | $3K | |
| 99381 | <1% | 84 | $2K | |
| 90688 | <1% | 437 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,006 | $2K |
| 81001 | <1% | 796 | $1K | |
| 90677 | <1% | 346 | $884.98 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 229 | $848.12 |
| 99406 | <1% | 210 | $768.00 | |
| 90474 | <1% | 223 | $735.53 | |
| 90656 | <1% | 76 | $725.75 | |
| 81002 | <1% | 863 | $713.97 | |
| 99383 | <1% | 26 | $668.84 | |
| 90651 | <1% | 206 | $464.41 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $324.80 |
| 92551 | <1% | 132 | $271.46 | |
| 99459 | <1% | 52 | $174.51 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 29 | $48.24 |
| 96127 | <1% | 1,626 | $37.88 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $27.84 |
| 85610 | <1% | 16 | $14.20 | |
| 98966 | <1% | 17 | $6.57 | |
| 90723 | 0% | 1,541 | $0.00 | |
| 90716 | 0% | 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 | 0% | 20 | $0.00 |
| 0500F | 0% | 33 | $0.00 | |
| 90647 | 0% | 1,576 | $0.00 | |
| 90698 | 0% | 843 | $0.00 | |
| 90680 | 0% | 1,790 | $0.00 | |
| 90696 | 0% | 261 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 836 | $0.00 |
| 3074F | 0% | 41 | $0.00 | |
| 3075F | 0% | 40 | $0.00 | |
| 90744 | 0% | 30 | $0.00 | |
| 90697 | 0% | 31 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 3044F | 0% | 37 | $0.00 | |
| 3079F | 0% | 54 | $0.00 | |
| 90461 | 0% | 4,459 | $0.00 | |
| 90734 | 0% | 348 | $0.00 | |
| 90633 | 0% | 1,529 | $0.00 | |
| 90710 | 0% | 409 | $0.00 | |
| 90700 | 0% | 311 | $0.00 | |
| 90648 | 0% | 358 | $0.00 | |
| 90685 | 0% | 78 | $0.00 | |
| 90707 | 0% | 274 | $0.00 | |
| 90681 | 0% | 267 | $0.00 | |
| 3078F | 0% | 48 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 723 | $0.00 |
| 0502F | 0% | 182 | $0.00 | |
| 3077F | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.