Clinic
Marlette Regional Hospital
Marlette Regional Hospital was paid $894K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoMARLETTE REGIONAL HOSPITAL
MARLETTE, MI 48453
MARLETTE, MI 48453
33aNPI1235333931assigned 06/14/2007
33bProvider typeRural Health Clinic/Center
28Total paid$894K
24GClaims45,303
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#63 of 193
Median peer was paid$426K
This provider vs. median2.1×
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.
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 | 5,672 | $130K | |
| 2019 | 5,916 | $124K | |
| 2020 | 5,434 | $110K | |
| 2021 | 5,761 | $124K | |
| 2022 | 7,315 | $138K | |
| 2023 | 8,634 | $169K | |
| 2024incomplete | 6,571 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 14,404 | 12,348 | $864K |
| 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 | 1.5% | 3,579 | 3,322 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 7,384 | 6,531 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 282 | 282 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 117 | 117 | $967.96 |
| 96160 | <1% | 540 | 540 | $537.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 921 | 918 | $437.97 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 216 | 213 | $328.56 |
| 81002 | <1% | 385 | 375 | $144.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $101.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | 18 | $101.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 538 | 489 | $41.20 |
23 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 109 | $13.71 |
| 3079F | 0% | 2,472 | $0.00 | |
| 3074F | 0% | 4,696 | $0.00 | |
| 3075F | 0% | 918 | $0.00 | |
| 1220F | 0% | 136 | $0.00 | |
| 1036F | 0% | 1,364 | $0.00 | |
| 3080F | 0% | 434 | $0.00 | |
| 2000F | 0% | 396 | $0.00 | |
| 90686 | 0% | 184 | $0.00 | |
| 1034F | 0% | 881 | $0.00 | |
| 1035F | 0% | 14 | $0.00 | |
| 2010F | 0% | 382 | $0.00 | |
| 3077F | 0% | 634 | $0.00 | |
| 3078F | 0% | 3,435 | $0.00 | |
| 1159F | 0% | 426 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 46 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 45 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 57 | $0.00 |
| 3725F | 0% | 136 | $0.00 | |
| 1160F | 0% | 35 | $0.00 | |
| 1033F | 0% | 73 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 21 | $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 officialBABCOCK, DANIEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Marlette Regional Hospital | Marlette, MI | $1.11M |
| Marlette Regional Hospital | North Branch, MI | $314K |
| Deckerville Community Hospital, INC | Marlette, MI | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.