Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER TAWAS

NPI: 1194713461 · TAWAS CITY, MI 48763 · General Acute Care Hospital · NPI assigned 10/11/2005

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

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

$9.11M
Total Medicaid Paid
355,184
Total Claims
315,206
Beneficiaries
181
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date10/11/2005

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,836 $1.31M
2019 56,179 $1.31M
2020 42,112 $1.07M
2021 54,153 $1.41M
2022 58,101 $1.40M
2023 56,765 $1.45M
2024 39,038 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,438 11,509 $2.01M
99283 Emergency department visit for the evaluation and management, moderate severity 15,307 14,595 $1.75M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,239 5,785 $1.67M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,593 6,875 $708K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,167 2,063 $320K
96375 Therapeutic injection; each additional sequential IV push 5,943 5,143 $187K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,483 1,987 $185K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,714 2,683 $182K
70450 Computed tomography, head or brain; without contrast material 1,884 1,799 $156K
96361 Intravenous infusion, hydration; each additional hour 4,935 4,315 $155K
71045 Radiologic examination, chest; single view 4,201 3,944 $147K
71046 Radiologic examination, chest; 2 views 3,312 3,176 $121K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3,190 3,073 $115K
74176 Computed tomography, abdomen and pelvis; without contrast material 997 961 $105K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,151 823 $98K
77067 Screening mammography, bilateral, including computer-aided detection 1,924 1,918 $92K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,627 1,612 $68K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 158 151 $61K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,033 742 $58K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 552 476 $52K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,593 4,217 $50K
80061 Lipid panel 5,405 5,313 $48K
73564 1,576 1,364 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 176 171 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,445 1,415 $34K
84443 Thyroid stimulating hormone (TSH) 5,954 5,855 $33K
80053 Comprehensive metabolic panel 19,290 17,290 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,070 3,037 $30K
76705 Ultrasound, abdominal, real time with image documentation; limited 480 451 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,240 19,480 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 221 218 $24K
72100 835 822 $24K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 436 428 $23K
86900 1,488 1,365 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,628 1,593 $22K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,830 675 $21K
73030 1,169 1,036 $20K
76830 Ultrasound, transvaginal 342 336 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,303 4,928 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,179 1,160 $15K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,259 2,934 $14K
73610 1,083 956 $14K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,154 1,129 $14K
73110 799 650 $13K
76801 191 173 $11K
94060 96 94 $11K
83036 Hemoglobin; glycosylated (A1C) 3,428 3,377 $11K
73630 948 845 $11K
36415 Collection of venous blood by venipuncture 32,476 27,375 $11K
73130 757 635 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 172 172 $10K
97162 210 208 $10K
72110 208 200 $7K
59025 Fetal non-stress test 82 51 $7K
87086 Culture, bacterial; quantitative colony count, urine 4,887 4,550 $6K
S4005 Interim labor facility global (labor occurring but not resulting in delivery) 65 53 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,315 5,793 $6K
87070 1,812 1,767 $6K
84702 1,411 1,018 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 14 $5K
G0378 Hospital observation service, per hour 30 26 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 12 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 518 498 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 24 14 $4K
80048 Basic metabolic panel (calcium, ionized) 3,547 3,197 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 684 667 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 855 811 $4K
82607 663 653 $3K
71275 Computed tomographic angiography, chest, with contrast material 36 36 $3K
84439 1,089 1,066 $3K
74018 277 274 $3K
97161 75 68 $3K
97035 524 180 $3K
77063 Screening digital breast tomosynthesis, bilateral 226 226 $3K
86850 1,575 1,446 $3K
87186 1,460 1,401 $2K
72050 77 66 $2K
73502 147 124 $2K
72125 Computed tomography, cervical spine; without contrast material 237 230 $2K
85610 7,055 5,846 $2K
83540 985 964 $2K
87340 758 743 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,197 1,571 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 17 16 $2K
83550 537 525 $2K
85027 1,535 1,376 $2K
87088 1,058 1,016 $2K
86140 1,190 1,052 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 25 $1K
81001 1,799 1,638 $1K
86803 438 429 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 17 17 $1K
82728 250 243 $1K
80076 1,473 1,355 $1K
83735 3,526 3,137 $1K
82570 557 534 $976.16
86592 540 528 $950.43
82043 460 453 $910.90
83880 1,148 1,081 $891.04
86780 161 157 $815.83
81003 8,298 7,720 $802.07
84153 78 76 $678.00
71271 13 13 $656.04
82550 3,471 3,210 $635.87
83690 4,541 4,139 $635.24
G0103 Prostate cancer screening; prostate specific antigen test (psa) 117 113 $630.44
93971 12 12 $583.56
87081 233 229 $560.86
87077 219 214 $522.42
85652 633 580 $503.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 22 22 $499.88
85730 4,977 4,411 $464.34
82150 2,414 2,234 $463.97
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 14 12 $430.37
73080 37 36 $429.11
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,448 1,108 $411.16
82746 62 62 $409.78
86901 1,463 1,340 $355.08
85007 804 708 $346.05
87420 611 602 $322.02
82951 56 51 $288.64
86762 89 87 $279.01
72170 27 26 $260.20
74022 102 96 $257.24
81025 3,611 3,451 $250.62
87205 201 187 $204.69
73562 12 12 $196.89
86317 42 40 $163.00
93017 41 28 $157.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,242 1,230 $145.81
84144 22 12 $140.97
87800 12 12 $139.40
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 399 391 $119.66
85379 446 422 $114.79
84703 419 406 $101.17
73140 27 26 $92.56
84484 4,080 3,674 $90.19
83605 2,332 2,144 $80.32
86038 12 12 $65.73
87040 898 836 $53.05
83874 1,264 1,139 $52.94
82962 1,056 796 $42.30
82553 3,032 2,815 $40.60
87634 109 106 $39.17
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,073 2,875 $27.00
87150 31 30 $25.68
88304 13 12 $25.54
90715 505 496 $23.93
82565 13 12 $19.09
84156 12 12 $9.05
J7030 Infusion, normal saline solution , 1000 cc 5,939 5,142 $5.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,431 3,192 $4.08
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,709 4,988 $0.72
J1200 Injection, diphenhydramine hcl, up to 50 mg 397 325 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,604 1,461 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,085 1,007 $0.00
94729 53 51 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 24 24 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 807 664 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 12 12 $0.00
29125 12 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 28 28 $0.00
94726 53 51 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 66 50 $0.00
J1171 Injection, hydromorphone, 0.1 mg 13 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,107 999 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 791 719 $0.00
96376 761 625 $0.00
J2060 Injection, lorazepam, 2 mg 398 363 $0.00
J2704 Injection, propofol, 10 mg 2,010 1,909 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,266 1,148 $0.00
J0690 Injection, cefazolin sodium, 500 mg 50 39 $0.00
A9270 Non-covered item or service 5,998 5,322 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,498 1,178 $0.00
A9585 Injection, gadobutrol, 0.1 ml 25 24 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 7,519 6,908 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 36 28 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 100 95 $0.00
12001 51 50 $0.00
88141 15 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 20 12 $0.00