Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1194968511 · ALMA, MI 48801 · Rural Health Clinic/Center · NPI assigned 04/15/2009

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

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

$1.62M
Total Medicaid Paid
54,239
Total Claims
46,610
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER ALMA
NPI Enumeration Date04/15/2009

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 CENTER TAWAS TAWAS CITY MI $9.11M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,787 $187K
2019 6,623 $174K
2020 8,291 $199K
2021 9,056 $266K
2022 8,716 $285K
2023 8,261 $277K
2024 6,505 $230K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,723 21,669 $737K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,322 10,133 $485K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,294 8,371 $273K
99215 Prolong outpt/office vis 743 587 $42K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,391 2,371 $19K
90472 Immunization administration, each additional vaccine (list separately) 627 624 $9K
90686 600 600 $9K
90677 26 26 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 520 270 $6K
83036 Hemoglobin; glycosylated (A1C) 818 816 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 64 64 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 87 85 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 37 37 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 85 85 $2K
91320 12 12 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 33 33 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 34 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 164 162 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 219 195 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28 28 $2K
90656 65 65 $1K
81025 199 197 $829.59
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $684.04
90480 12 12 $518.70
0011A 12 12 $454.20
36415 Collection of venous blood by venipuncture 58 58 $128.25
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $19.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 14 $0.00