Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER GLADWIN

NPI: 1235248071 · GLADWIN, MI 48624 · Critical Access Hospital · NPI assigned 08/29/2006

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

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

$10.43M
Total Medicaid Paid
331,140
Total Claims
291,628
Beneficiaries
168
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date08/29/2006

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 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 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 48,748 $1.14M
2019 46,926 $1.10M
2020 40,085 $1.28M
2021 49,336 $1.74M
2022 49,913 $1.81M
2023 51,256 $1.74M
2024 44,876 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,049 13,270 $1.85M
99284 Emergency department visit for the evaluation and management, high severity 9,218 8,533 $1.81M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,231 3,810 $1.31M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,259 4,776 $627K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,735 5,517 $512K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,417 3,252 $488K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,672 2,576 $488K
70450 Computed tomography, head or brain; without contrast material 2,449 2,347 $289K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,958 6,742 $251K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,552 2,679 $235K
96375 Therapeutic injection; each additional sequential IV push 5,567 4,848 $230K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,461 2,396 $221K
71046 Radiologic examination, chest; 2 views 4,453 4,257 $188K
96361 Intravenous infusion, hydration; each additional hour 4,804 4,156 $168K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,088 1,051 $133K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,175 892 $130K
71045 Radiologic examination, chest; single view 2,698 2,543 $120K
77067 Screening mammography, bilateral, including computer-aided detection 1,921 1,911 $119K
80061 Lipid panel 5,946 5,895 $95K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 380 185 $69K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,787 1,029 $66K
80053 Comprehensive metabolic panel 22,915 20,374 $65K
84443 Thyroid stimulating hormone (TSH) 6,832 6,705 $65K
76705 Ultrasound, abdominal, real time with image documentation; limited 720 715 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,615 21,309 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 207 204 $45K
76830 Ultrasound, transvaginal 497 490 $38K
36415 Collection of venous blood by venipuncture 25,676 21,813 $38K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,109 686 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,029 2,013 $36K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,460 1,444 $32K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,448 1,432 $32K
97161 412 411 $29K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,890 857 $28K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 390 386 $27K
83036 Hemoglobin; glycosylated (A1C) 4,061 4,039 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 442 424 $24K
71260 Computed tomography, thorax, diagnostic; with contrast material 156 152 $23K
77063 Screening digital breast tomosynthesis, bilateral 1,185 1,185 $21K
87086 Culture, bacterial; quantitative colony count, urine 6,176 5,888 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,281 1,244 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,630 6,052 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,139 3,626 $15K
87081 5,258 5,171 $12K
94060 74 74 $12K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 852 851 $12K
86900 361 353 $12K
71271 147 146 $11K
84439 1,878 1,850 $10K
80048 Basic metabolic panel (calcium, ionized) 2,895 2,455 $10K
72100 252 252 $9K
82607 981 975 $8K
73630 1,056 1,018 $8K
86803 871 869 $8K
87186 1,975 1,890 $8K
73030 609 582 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 333 125 $7K
87088 1,913 1,841 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 30 12 $7K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 319 317 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $6K
72125 Computed tomography, cervical spine; without contrast material 360 350 $6K
85027 1,427 1,379 $5K
83880 1,398 1,296 $5K
71250 78 76 $5K
93971 79 77 $5K
82728 543 534 $5K
J7030 Infusion, normal saline solution , 1000 cc 4,885 3,915 $5K
71275 Computed tomographic angiography, chest, with contrast material 49 44 $5K
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 1,889 1,694 $5K
81001 10,093 9,399 $4K
87070 815 805 $4K
87077 1,052 1,024 $4K
83735 3,428 2,844 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 248 247 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 150 146 $3K
96367 69 39 $3K
73610 526 502 $3K
G0378 Hospital observation service, per hour 32 15 $3K
83550 549 541 $3K
80306 1,630 1,528 $3K
86140 1,777 1,570 $3K
73130 468 452 $3K
93225 50 50 $3K
82043 681 679 $3K
83540 631 623 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 97 97 $3K
82746 274 274 $3K
85610 6,240 4,942 $2K
73564 207 197 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,766 2,645 $2K
87634 29 29 $2K
82570 459 449 $2K
87075 354 344 $2K
87808 180 180 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 82 80 $2K
85652 1,186 1,140 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,659 1,320 $1K
74019 81 80 $1K
83690 3,744 3,450 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 124 113 $1K
97162 26 26 $1K
76801 12 12 $980.64
73110 101 100 $761.03
85730 1,095 1,037 $733.96
80076 109 102 $573.06
74018 41 40 $569.77
72131 15 13 $556.45
84702 93 66 $536.06
74022 443 432 $513.30
76642 13 13 $494.80
81025 2,935 2,812 $448.79
86038 59 59 $429.50
97012 60 25 $356.44
87276 3,514 3,435 $346.68
73502 27 27 $342.36
84153 28 28 $293.01
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 12 12 $274.53
83605 2,963 2,681 $269.83
73562 12 12 $268.61
87275 3,514 3,435 $265.38
93017 15 15 $253.30
87430 3,286 3,225 $219.45
72110 26 24 $198.47
85379 628 619 $197.47
87807 398 393 $182.60
87340 62 62 $180.41
84703 484 472 $179.17
84484 5,006 4,087 $160.75
87040 841 684 $145.12
86431 26 26 $75.36
86592 15 15 $51.18
82962 1,127 811 $10.28
93226 50 50 $9.66
A9270 Non-covered item or service 1,298 1,061 $0.38
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,525 3,752 $0.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,248 1,109 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 890 783 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 2,229 1,906 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 172 163 $0.00
94729 98 98 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 41 37 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 116 100 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 114 94 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 171 149 $0.00
90715 73 72 $0.00
94726 49 49 $0.00
J1171 Injection, hydromorphone, 0.1 mg 39 33 $0.00
C9113 Injection, pantoprazole sodium, per vial 20 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 714 630 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,507 1,289 $0.00
96376 1,581 1,249 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 2,576 2,414 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,623 1,228 $0.00
J7050 Infusion, normal saline solution, 250 cc 474 390 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 135 119 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,142 1,067 $0.00
86901 361 353 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 160 132 $0.00
86850 216 213 $0.00
J2060 Injection, lorazepam, 2 mg 119 101 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 15 12 $0.00
J3480 Injection, potassium chloride, per 2 meq 41 25 $0.00
J2785 Injection, regadenoson, 0.1 mg 12 12 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 12 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 13 $0.00
12001 12 12 $0.00