Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Lapeer › NPI 1205824737
Hospital

Mclaren Lapeer Region

Mclaren Lapeer Region was paid $16.98M by Medicaid between Jan 2018 and Dec 2024, across 279 billing codes. Its largest line is 99285, emergency room visit (most serious) — 24% of everything it billed.

33Billing provider infoMCLAREN LAPEER REGION
LAPEER, MI 48446
33aNPI1205824737assigned 10/10/2005
28Total paid$16.98M
24GClaims648,991
24DCodes billed279
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#51 of 86
Median peer was paid$21.55M
This provider vs. median0.8×

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 KORTE, FRED controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201893,022$2.76M
2019101,147$2.68M
202085,238$2.13M
202199,699$2.41M
202293,349$2.27M
2023101,555$2.57M
2024incomplete74,981$2.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 24% 12,038 11,106 $4.10M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 20,214 18,745 $3.65M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 15,749 15,029 $1.84M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.5% 12,394 11,317 $1.10M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.6% 5,082 4,865 $784K
96361 Intravenous infusion, hydration; each additional hour 3.0% 12,732 11,136 $508K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.7% 3,185 3,043 $295K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.7% 11,883 9,987 $295K
70450 Computed tomography, head or brain; without contrast material 1.7% 3,956 3,758 $290K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.7% 12,193 2,550 $286K
96375 Therapeutic injection; each additional sequential IV push 1.6% 10,153 8,866 $271K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.5% 3,712 3,648 $256K
267 more codes
71045 Radiologic examination, chest; single view 1.5% 7,602 $250K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.4% 3,221 $239K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 3,175 $221K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 360 $205K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 1,906 $200K
71046 Radiologic examination, chest; 2 views <1% 4,377 $149K
82947 <1% 4,958 $137K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 397 $123K
80061 Lipid panel <1% 7,243 $108K
G0378 Hospital observation service, per hour <1% 2,887 $98K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 180 $89K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,686 $86K
76830 Ultrasound, transvaginal <1% 1,498 $83K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,743 $82K
93975 <1% 661 $72K
59025 Fetal non-stress test <1% 830 $68K
71275 Computed tomographic angiography, chest, with contrast material <1% 875 $65K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,512 $59K
64635 <1% 68 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,583 $54K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 740 $43K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 280 $43K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 96 $41K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 412 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,616 $38K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,041 $35K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 266 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 199 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,498 $33K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 669 $33K
76801 <1% 496 $27K
97161 <1% 522 $27K
78815 Positron emission tomography (PET) for limited area imaging <1% 39 $25K
93971 <1% 386 $20K
72110 <1% 720 $18K
80053 Comprehensive metabolic panel <1% 36,824 $15K
84443 Thyroid stimulating hormone (TSH) <1% 9,628 $15K
73564 <1% 1,145 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 985 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,577 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 91 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 37,656 $12K
72125 Computed tomography, cervical spine; without contrast material <1% 1,006 $11K
73030 <1% 1,148 $11K
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 <1% 475 $9K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 240 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,177 $9K
73610 <1% 1,163 $9K
62323 <1% 30 $9K
73630 <1% 1,404 $9K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 458 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,620 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,205 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,846 $7K
71250 <1% 136 $6K
94762 <1% 107 $6K
73130 <1% 953 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 199 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 5,153 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 738 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 700 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 123 $5K
97014 <1% 675 $5K
36415 Collection of venous blood by venipuncture <1% 29,881 $4K
94060 <1% 64 $4K
95816 <1% 42 $4K
72131 <1% 127 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 553 $4K
82728 <1% 2,800 $4K
74018 <1% 229 $4K
20610 <1% 27 $4K
86900 <1% 1,399 $4K
73502 <1% 306 $3K
84439 <1% 3,280 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,303 $3K
82607 <1% 2,931 $3K
76775 <1% 81 $3K
82746 <1% 2,514 $3K
82670 <1% 457 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,124 $3K
84403 <1% 553 $3K
90670 <1% 16 $3K
83550 <1% 2,890 $2K
71271 <1% 38 $2K
97162 <1% 67 $2K
73110 <1% 374 $2K
83001 <1% 528 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 4,940 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 381 $2K
83540 <1% 3,162 $2K
84146 <1% 442 $2K
94799 <1% 4,544 $2K
83735 <1% 9,931 $2K
G0008 Administration of influenza virus vaccine <1% 125 $2K
84144 <1% 329 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 8,837 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 358 $2K
83880 <1% 2,931 $2K
84702 <1% 1,778 $1K
76642 <1% 38 $1K
83516 <1% 184 $1K
70486 <1% 49 $1K
72141 <1% 12 $1K
85610 <1% 12,199 $1K
76536 <1% 24 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,412 $1K
87070 <1% 1,839 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 69 $941.52
87086 Culture, bacterial; quantitative colony count, urine <1% 4,004 $935.22
72050 <1% 25 $921.53
86140 <1% 1,765 $885.41
72128 <1% 13 $868.99
87077 <1% 1,905 $783.38
99195 <1% 12 $777.48
82248 <1% 525 $770.81
72072 <1% 24 $764.39
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,904 $728.89
82627 <1% 142 $715.94
83690 <1% 8,721 $634.29
85027 <1% 2,311 $630.39
87186 <1% 1,667 $619.51
82247 <1% 356 $572.51
94760 <1% 3,854 $540.80
83655 <1% 311 $515.20
76770 <1% 12 $493.06
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 178 $488.53
85730 <1% 6,746 $476.03
81025 <1% 10,078 $473.64
96367 <1% 43 $411.71
85652 <1% 1,514 $411.13
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 440 $388.91
81001 <1% 8,588 $385.34
84481 <1% 317 $385.09
86850 <1% 1,084 $377.58
84100 <1% 2,851 $375.65
90686 <1% 31 $307.43
81003 <1% 7,304 $298.54
90656 <1% 15 $296.55
82150 <1% 582 $293.98
90688 <1% 13 $266.24
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% 114 $261.83
87081 <1% 1,004 $251.83
97535 Self-care/home management training, each 15 minutes <1% 14 $242.65
80076 <1% 245 $242.26
74022 <1% 1,530 $234.28
73590 <1% 45 $221.34
82043 <1% 527 $214.22
82565 <1% 338 $212.18
73080 <1% 38 $196.48
93041 <1% 1,772 $190.19
82570 <1% 390 $184.21
72100 <1% 12 $171.90
80074 <1% 27 $165.58
86038 <1% 170 $143.48
83605 <1% 11,066 $139.71
84460 <1% 315 $135.30
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 23 $135.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 16 $129.68
83615 <1% 202 $127.36
84550 <1% 292 $126.88
82626 <1% 14 $125.41
84450 <1% 244 $115.86
87808 <1% 24 $115.22
86901 <1% 1,679 $111.34
87205 <1% 771 $110.83
82550 <1% 1,259 $101.51
87075 <1% 346 $101.34
83721 <1% 60 $100.84
70496 <1% 13 $100.63
G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) <1% 15 $97.68
87040 <1% 3,278 $97.01
87634 <1% 488 $95.34
84484 <1% 10,533 $94.35
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 <1% 2,346 $85.50
92551 <1% 12 $83.16
G0009 Administration of pneumococcal vaccine <1% 32 $80.52
84520 <1% 179 $77.15
82077 <1% 2,945 $70.74
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 54 $64.38
85018 <1% 667 $62.61
85379 <1% 2,298 $61.49
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 290 $57.04
87046 <1% 13 $35.04
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 303 $33.49
A9270 Non-covered item or service <1% 17,094 $30.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,754 $24.82
84703 <1% 488 $24.26
80143 <1% 852 $23.17
80179 <1% 787 $23.17
87427 <1% 13 $22.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 281 $22.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 749 $22.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13,780 $19.84
82608 <1% 12 $17.99
87045 <1% 13 $17.52
86431 <1% 56 $15.52
88304 <1% 161 $14.81
86376 <1% 12 $8.20
81015 <1% 1,135 $6.35
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,461 $5.41
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 564 $4.11
J3490 Unclassified drugs <1% 6,222 $3.30
J1030 Injection, methylprednisolone acetate, 40 mg <1% 899 $3.16
85014 <1% 42 $1.39
C9113 Injection, pantoprazole sodium, per vial 0% 992 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 39 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 470 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 1,305 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 12,409 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 3,432 $0.00
90461 0% 624 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 3,979 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 605 $0.00
90715 0% 320 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 2,000 $0.00
77003 0% 25 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 67 $0.00
29125 0% 68 $0.00
J2300 Injection, nalbuphine hydrochloride, per 10 mg 0% 16 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 28 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 132 $0.00
90681 0% 15 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 34 $0.00
80305 0% 309 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 26 $0.00
64636 0% 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 50 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 137 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 12 $0.00
99173 0% 12 $0.00
94664 0% 53 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 1,819 $0.00
12001 0% 133 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,121 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 5,097 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 2,045 $0.00
97010 0% 2,566 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 1,807 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 461 $0.00
J2704 Injection, propofol, 10 mg 0% 1,801 $0.00
96376 0% 2,630 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 744 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 552 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 633 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 1,651 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 5,734 $0.00
87449 0% 65 $0.00
J2060 Injection, lorazepam, 2 mg 0% 1,392 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 46 $0.00
87390 0% 12 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 573 $0.00
90723 0% 14 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 130 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 87 $0.00
86702 0% 12 $0.00
87807 0% 19 $0.00
72170 0% 26 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 76 $0.00
12002 0% 14 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 0% 13 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 57 $0.00
86803 0% 13 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 36 $0.00
86701 0% 12 $0.00
96368 0% 18 $0.00
J1815 Injection, insulin, per 5 units 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 officialKORTE, FRED (VP/CFO)
Same official

Other billing entities under KORTE, FRED

Full network →
ProviderLocationPaid
Mclaren FlintFlint, MI$43.44M
Mclaren FlintFlint, MI$7.35M
Mclaren Lapeer RegionLapeer, MI$2.23M
Mclaren FlintFlint, MI$472K
Mclaren FlintFlint, MI$308K
Mclaren FlintFlint, MI$218K
Mclaren FlintFlint, MI$181K
Mclaren FlintFlint, MI$77K
Mclaren FlintFlint, MI$38K
Mclaren Lapeer RegionLapeer, MI$18K
Mclaren Lapeer RegionLapeer, MI$14K
Mclaren Lapeer RegionLapeer, MI$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.