Physician
Mymichigan Medical Center Midland
Mymichigan Medical Center Midland was paid $24.37M by Medicaid between Jan 2018 and Dec 2024, across 219 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER MIDLAND
MIDLAND, MI 48670
MIDLAND, MI 48670
33aNPI1205889490assigned 05/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$24.37M
24GClaims524,447
24DCodes billed219
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#3 of 826
Median peer was paid$98K
This provider vs. median250×
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 JAMES, SARAH 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 | 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 | |
| 2024incomplete | 85,472 | $4.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 99,815 | 92,436 | $5.98M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 138,018 | 124,780 | $5.86M |
| 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 | 4.9% | 14,568 | 14,405 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 12,515 | 12,502 | $884K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 8,218 | 7,735 | $663K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 12,333 | 12,017 | $641K |
| 59426 | 2.6% | 782 | 780 | $631K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 8,363 | 8,357 | $567K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 565 | 565 | $484K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 9,470 | 9,392 | $482K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 5,885 | 5,871 | $470K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 8,607 | 3,229 | $458K |
207 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 6,404 | $453K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.9% | 10,878 | $451K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 4,660 | $330K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 7,855 | $318K |
| 99205 | Prolong outpt/office vis | 1.1% | 2,616 | $274K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 2,664 | $256K |
| 90837 | Psychotherapy session, about an hour | <1% | 2,816 | $234K |
| 99254 | <1% | 2,202 | $210K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,539 | $181K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,505 | $166K |
| 59430 | <1% | 914 | $164K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 33,048 | $160K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,513 | $137K |
| 95886 | <1% | 2,537 | $134K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,122 | $133K |
| 59025 | Fetal non-stress test | <1% | 7,022 | $127K |
| 93458 | <1% | 673 | $93K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,145 | $81K |
| 95912 | <1% | 754 | $81K | |
| 99460 | <1% | 1,391 | $80K | |
| 20610 | <1% | 2,751 | $78K | |
| 99255 | <1% | 625 | $75K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 739 | $71K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 461 | $62K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,397 | $59K |
| 99253 | <1% | 770 | $52K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 3,876 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,399 | $48K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,170 | $47K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,396 | $47K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,809 | $45K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,419 | $41K |
| 17110 | <1% | 882 | $41K | |
| 99381 | <1% | 566 | $34K | |
| 95811 | <1% | 480 | $34K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 963 | $34K |
| 95251 | <1% | 1,724 | $33K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 306 | $33K |
| 99463 | <1% | 425 | $28K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 254 | $28K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 171 | $27K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 590 | $25K |
| 99442 | <1% | 661 | $25K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 964 | $25K |
| 93970 | <1% | 1,215 | $25K | |
| 93016 | <1% | 1,974 | $24K | |
| 94060 | <1% | 3,114 | $24K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 541 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,277 | $24K |
| 93227 | <1% | 1,819 | $24K | |
| 54150 | <1% | 385 | $23K | |
| 99443 | <1% | 417 | $23K | |
| 99219 | <1% | 317 | $22K | |
| 0011A | <1% | 687 | $22K | |
| 93971 | <1% | 1,602 | $21K | |
| 94729 | <1% | 3,439 | $20K | |
| 94726 | <1% | 2,626 | $20K | |
| 99188 | <1% | 2,971 | $19K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,453 | $19K |
| 0012A | <1% | 499 | $19K | |
| 93018 | <1% | 2,218 | $18K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,384 | $18K |
| 93294 | <1% | 1,101 | $17K | |
| 90686 | <1% | 1,290 | $17K | |
| 93298 | <1% | 1,058 | $16K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,122 | $16K |
| 99383 | <1% | 199 | $15K | |
| 76642 | <1% | 655 | $14K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 223 | $14K |
| 47562 | <1% | 38 | $14K | |
| 73610 | <1% | 1,278 | $13K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 145 | $13K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 228 | $12K |
| 93880 | <1% | 494 | $11K | |
| 93351 | <1% | 216 | $11K | |
| 59425 | <1% | 30 | $11K | |
| 93272 | <1% | 743 | $10K | |
| 99217 | <1% | 269 | $10K | |
| 73630 | <1% | 923 | $10K | |
| 90715 | <1% | 337 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 898 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 960 | $10K |
| 99495 | <1% | 106 | $9K | |
| 20611 | <1% | 256 | $9K | |
| 99221 | <1% | 193 | $9K | |
| 99385 | <1% | 115 | $9K | |
| 73110 | <1% | 787 | $9K | |
| 95806 | <1% | 295 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 369 | $8K |
| 94010 | <1% | 1,348 | $8K | |
| 77065 | Tomosynthesis, mammo | <1% | 325 | $8K |
| 52332 | <1% | 90 | $8K | |
| 99152 | <1% | 1,157 | $7K | |
| 58100 | <1% | 182 | $7K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 388 | $7K |
| 90632 | <1% | 128 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 809 | $7K |
| 58571 | <1% | 15 | $7K | |
| 73030 | <1% | 649 | $7K | |
| 93454 | <1% | 57 | $7K | |
| 93295 | <1% | 298 | $6K | |
| 52000 | <1% | 123 | $6K | |
| 81025 | <1% | 946 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,949 | $5K |
| 93922 | <1% | 687 | $5K | |
| 93320 | <1% | 438 | $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% | 1,566 | $5K |
| 99441 | <1% | 249 | $5K | |
| 77066 | Tomosynthesis, mammo | <1% | 153 | $5K |
| 58300 | <1% | 151 | $5K | |
| 90839 | <1% | 63 | $4K | |
| 93350 | <1% | 103 | $4K | |
| 95911 | <1% | 41 | $4K | |
| 43235 | <1% | 49 | $4K | |
| 99243 | <1% | 60 | $4K | |
| 95816 | <1% | 115 | $4K | |
| 93280 | <1% | 196 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 144 | $3K |
| 99462 | <1% | 137 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 312 | $3K |
| 58301 | <1% | 80 | $3K | |
| 92928 | <1% | 14 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 403 | $3K |
| 93000 | <1% | 309 | $3K | |
| 81000 | <1% | 872 | $3K | |
| 93325 | <1% | 1,395 | $3K | |
| 90651 | <1% | 133 | $3K | |
| 93321 | <1% | 565 | $2K | |
| 99220 | <1% | 25 | $2K | |
| 99382 | <1% | 30 | $2K | |
| 90670 | <1% | 430 | $2K | |
| 93308 | <1% | 140 | $2K | |
| 11981 | <1% | 40 | $2K | |
| 73562 | <1% | 152 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 52 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 66 | $2K |
| 73140 | <1% | 174 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 20 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $2K |
| 81002 | <1% | 692 | $1K | |
| 36556 | <1% | 31 | $1K | |
| 73130 | <1% | 140 | $1K | |
| 99406 | <1% | 187 | $1K | |
| 10060 | <1% | 24 | $1K | |
| 95819 | <1% | 38 | $1K | |
| 46600 | <1% | 55 | $1K | |
| 76641 | <1% | 43 | $1K | |
| 73564 | <1% | 105 | $1K | |
| 90732 | <1% | 12 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 90474 | <1% | 329 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 91 | $1K |
| 75574 | <1% | 13 | $948.34 | |
| 0072A | <1% | 23 | $920.00 | |
| 0064A | <1% | 25 | $915.70 | |
| 11100 | <1% | 16 | $913.32 | |
| 64615 | <1% | 12 | $898.42 | |
| 0002A | <1% | 26 | $840.00 | |
| 0071A | <1% | 22 | $837.85 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 171 | $834.03 |
| 0001A | <1% | 25 | $795.70 | |
| 73560 | <1% | 121 | $774.33 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | $763.98 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 81 | $744.96 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 52 | $721.37 |
| 36620 | <1% | 29 | $646.01 | |
| 11982 | <1% | 12 | $607.82 | |
| 20605 | <1% | 26 | $585.09 | |
| 76801 | <1% | 16 | $532.38 | |
| 99421 | <1% | 38 | $432.03 | |
| 72100 | <1% | 38 | $393.01 | |
| 74018 | <1% | 32 | $361.84 | |
| 73080 | <1% | 43 | $316.77 | |
| 90480 | <1% | 32 | $307.86 | |
| 96127 | <1% | 81 | $299.08 | |
| 98966 | <1% | 675 | $289.78 | |
| 69210 | <1% | 12 | $249.23 | |
| 69209 | <1% | 29 | $233.64 | |
| 76942 | <1% | 14 | $231.75 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 118 | $227.60 |
| 51798 | <1% | 34 | $202.43 | |
| 76937 | <1% | 16 | $138.11 | |
| 90734 | <1% | 12 | $130.00 | |
| 91320 | <1% | 33 | $122.40 | |
| 73502 | <1% | 14 | $104.62 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 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 | <1% | 13 | $38.60 |
| 90656 | <1% | 64 | $19.00 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 294 | $0.01 |
| 98967 | 0% | 244 | $0.00 | |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 0% | 52 | $0.00 |
| 90723 | 0% | 178 | $0.00 | |
| 1111F | 0% | 423 | $0.00 | |
| 90680 | 0% | 280 | $0.00 | |
| 0500F | 0% | 44 | $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 | 0% | 15 | $0.00 |
| 90647 | 0% | 325 | $0.00 | |
| 91301 | 0% | 660 | $0.00 | |
| 92551 | 0% | 55 | $0.00 | |
| 0503F | 0% | 12 | $0.00 | |
| 99173 | 0% | 85 | $0.00 | |
| 0502F | 0% | 2,449 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90685 | 0% | 114 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| G9001 | Coordinated care fee, initial rate | 0% | 30 | $0.00 |
| 90682 | 0% | 15 | $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 officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.