Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER MIDLAND

NPI: 1205889490 · MIDLAND, MI 48670 · Family Medicine Physician · NPI assigned 05/18/2006

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

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

$24.37M
Total Medicaid Paid
524,447
Total Claims
472,057
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/18/2006

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57,933 $2.47M
2019 59,644 $2.43M
2020 60,506 $2.66M
2021 79,425 $3.96M
2022 87,012 $4.27M
2023 94,455 $4.43M
2024 85,472 $4.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99,815 92,436 $5.98M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138,018 124,780 $5.86M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14,568 14,405 $1.20M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,515 12,502 $884K
99215 Prolong outpt/office vis 8,218 7,735 $663K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,333 12,017 $641K
59426 782 780 $631K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,363 8,357 $567K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 565 565 $484K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,470 9,392 $482K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,885 5,871 $470K
99233 Prolong inpt eval add15 m 8,607 3,229 $458K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,404 6,383 $453K
99232 Subsequent hospital care, per day, moderate complexity 10,878 4,388 $451K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,660 4,655 $330K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,855 7,790 $318K
99205 Prolong outpt/office vis 2,616 2,586 $274K
99223 Prolong inpt eval add15 m 2,664 2,442 $256K
90837 Psychotherapy, 53 minutes with patient 2,816 1,898 $234K
99254 2,202 1,983 $210K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,539 7,359 $181K
99222 Initial hospital care, per day, moderate complexity 2,505 2,246 $166K
59430 914 912 $164K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,048 26,064 $160K
90834 Psychotherapy, 45 minutes with patient 2,513 1,845 $137K
95886 2,537 2,133 $134K
99238 Hospital discharge day management, 30 minutes or less 3,122 3,035 $133K
59025 Fetal non-stress test 7,022 2,897 $127K
93458 673 659 $93K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,145 1,142 $81K
95912 754 753 $81K
99460 1,391 1,389 $80K
20610 2,751 2,162 $78K
99255 625 573 $75K
99244 Office or other outpatient consultation, moderate to high complexity 739 730 $71K
90792 Psychiatric diagnostic evaluation with medical services 461 455 $62K
77067 Screening mammography, bilateral, including computer-aided detection 2,397 2,397 $59K
99253 770 724 $52K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 3,876 3,848 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,399 4,260 $48K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,170 1,148 $47K
77063 Screening digital breast tomosynthesis, bilateral 2,396 2,396 $47K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,809 1,576 $45K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,419 1,325 $41K
17110 882 800 $41K
99381 566 566 $34K
95811 480 479 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 963 948 $34K
95251 1,724 1,703 $33K
90791 Psychiatric diagnostic evaluation 306 301 $33K
99463 425 425 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 254 254 $28K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 171 171 $27K
90832 Psychotherapy, 30 minutes with patient 590 483 $25K
99442 661 637 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 964 571 $25K
93970 1,215 1,182 $25K
93016 1,974 1,957 $24K
94060 3,114 3,066 $24K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 541 540 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,277 3,229 $24K
93227 1,819 1,805 $24K
54150 385 383 $23K
99443 417 399 $23K
99219 317 312 $22K
0011A 687 685 $22K
93971 1,602 1,560 $21K
94729 3,439 3,386 $20K
94726 2,626 2,583 $20K
99188 2,971 2,968 $19K
71046 Radiologic examination, chest; 2 views 1,453 1,435 $19K
0012A 499 499 $19K
93018 2,218 2,202 $18K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 1,384 1,378 $18K
93294 1,101 1,101 $17K
90686 1,290 1,282 $17K
93298 1,058 1,052 $16K
90472 Immunization administration, each additional vaccine (list separately) 1,122 1,108 $16K
99383 199 199 $15K
76642 655 648 $14K
99239 Hospital discharge day management, more than 30 minutes 223 220 $14K
47562 38 38 $14K
73610 1,278 1,221 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 145 145 $13K
J1050 Injection, medroxyprogesterone acetate, 1 mg 228 225 $12K
93880 494 493 $11K
93351 216 215 $11K
59425 30 30 $11K
93272 743 743 $10K
99217 269 258 $10K
73630 923 876 $10K
90715 337 335 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 898 843 $10K
83036 Hemoglobin; glycosylated (A1C) 960 955 $10K
99495 106 105 $9K
20611 256 240 $9K
99221 193 187 $9K
99385 115 115 $9K
73110 787 727 $9K
95806 295 295 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 369 339 $8K
94010 1,348 1,320 $8K
77065 Tomosynthesis, mammo 325 307 $8K
52332 90 89 $8K
99152 1,157 1,113 $7K
58100 182 181 $7K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 388 385 $7K
90632 128 127 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 809 459 $7K
58571 15 12 $7K
73030 649 613 $7K
93454 57 53 $7K
93295 298 297 $6K
52000 123 123 $6K
81025 946 917 $6K
36415 Collection of venous blood by venipuncture 1,949 1,758 $5K
93922 687 683 $5K
93320 438 429 $5K
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) 1,566 1,499 $5K
99441 249 247 $5K
77066 Tomosynthesis, mammo 153 153 $5K
58300 151 150 $5K
90839 63 60 $4K
93350 103 103 $4K
95911 41 40 $4K
43235 49 49 $4K
99243 60 59 $4K
95816 115 112 $4K
93280 196 176 $4K
99417 Prolong home eval add 15m 144 131 $3K
99462 137 130 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 312 311 $3K
58301 80 77 $3K
92928 14 12 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 403 396 $3K
93000 309 303 $3K
81000 872 861 $3K
93325 1,395 1,342 $3K
90651 133 132 $3K
93321 565 543 $2K
99220 25 25 $2K
99382 30 30 $2K
90670 430 426 $2K
93308 140 127 $2K
11981 40 39 $2K
73562 152 144 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 52 25 $2K
Q3014 Telehealth originating site facility fee 66 66 $2K
73140 174 162 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 20 20 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $2K
81002 692 679 $1K
36556 31 26 $1K
73130 140 133 $1K
99406 187 185 $1K
10060 24 24 $1K
95819 38 38 $1K
46600 55 54 $1K
76641 43 42 $1K
73564 105 98 $1K
90732 12 12 $1K
99384 13 13 $1K
90474 329 325 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 91 90 $1K
75574 13 13 $948.34
0072A 23 23 $920.00
0064A 25 25 $915.70
11100 16 15 $913.32
64615 12 12 $898.42
0002A 26 26 $840.00
0071A 22 22 $837.85
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 171 168 $834.03
0001A 25 25 $795.70
73560 121 115 $774.33
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22 22 $763.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 81 81 $744.96
J1030 Injection, methylprednisolone acetate, 40 mg 52 50 $721.37
36620 29 25 $646.01
11982 12 12 $607.82
20605 26 26 $585.09
76801 16 16 $532.38
99421 38 38 $432.03
72100 38 38 $393.01
74018 32 31 $361.84
73080 43 41 $316.77
90480 32 32 $307.86
96127 81 80 $299.08
98966 675 631 $289.78
69210 12 12 $249.23
69209 29 26 $233.64
76942 14 12 $231.75
J1885 Injection, ketorolac tromethamine, per 15 mg 118 114 $227.60
51798 34 33 $202.43
76937 16 15 $138.11
90734 12 12 $130.00
91320 33 33 $122.40
73502 14 14 $104.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 70 70 $96.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 13 13 $38.60
90656 64 64 $19.00
G9002 Coordinated care fee, maintenance rate 294 282 $0.01
98967 244 230 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 52 52 $0.00
90723 178 176 $0.00
1111F 423 414 $0.00
90680 280 277 $0.00
0500F 44 43 $0.00
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 15 15 $0.00
90647 325 322 $0.00
91301 660 650 $0.00
92551 55 55 $0.00
0503F 12 12 $0.00
99173 85 85 $0.00
0502F 2,449 1,579 $0.00
90621 12 12 $0.00
90685 114 114 $0.00
90633 38 37 $0.00
G9001 Coordinated care fee, initial rate 30 30 $0.00
90682 15 15 $0.00