Hospital
Mclaren Thumb Region
Mclaren Thumb Region was paid $1.57M by Medicaid between Jan 2018 and Oct 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMCLAREN THUMB REGION
BAD AXE, MI 48413
BAD AXE, MI 48413
33aNPI1245257880assigned 07/17/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.57M
24GClaims44,457
24DCodes billed65
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Michigan
Rank by total paid#73 of 86
Median peer was paid$21.55M
This provider vs. median0.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BARANSKI, KENNETH 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 | 13,208 | $458K | |
| 2019 | 13,604 | $449K | |
| 2020 | 11,327 | $396K | |
| 2021 | 4,913 | $216K | |
| 2022 | 540 | $18K | |
| 2023 | 514 | $21K | |
| 2024incomplete | 351 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 14,721 | 13,072 | $614K |
| 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 | 23% | 6,051 | 5,671 | $364K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 1,195 | 1,194 | $90K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 1,332 | 1,307 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 1,158 | 1,148 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 543 | 543 | $41K |
| 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 | 2.1% | 389 | 388 | $33K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.0% | 718 | 670 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 365 | 352 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,201 | 1,103 | $29K |
| 99460 | 1.6% | 461 | 456 | $24K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 1,110 | 1,107 | $18K |
53 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 2,067 | $16K |
| 99284 | Emergency room visit (serious) | 1.0% | 303 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,402 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 340 | $14K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 299 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 160 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 742 | $9K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 199 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 466 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 406 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 113 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $4K |
| 99285 | Emergency room visit (most serious) | <1% | 52 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $3K |
| 90686 | <1% | 498 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $2K |
| 99000 | <1% | 299 | $2K | |
| 81002 | <1% | 700 | $2K | |
| 81025 | <1% | 193 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $1K |
| 90670 | <1% | 706 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 125 | $1K |
| 11721 | <1% | 38 | $740.95 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 29 | $532.04 |
| 90715 | <1% | 24 | $475.10 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 247 | $445.96 |
| 92567 | <1% | 27 | $211.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 208 | $209.22 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 19 | $203.65 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 20 | $184.86 |
| 90656 | <1% | 25 | $131.86 | |
| 94760 | <1% | 1,434 | $122.45 | |
| 99406 | <1% | 12 | $89.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $57.01 |
| 0502F | <1% | 1,420 | $0.71 | |
| 97802 | <1% | 220 | $0.49 | |
| 3008F | <1% | 777 | $0.19 | |
| 0501F | <1% | 16 | $0.06 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 12 | $0.05 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 497 | $0.03 |
| 0503F | <1% | 45 | $0.03 | |
| 3078F | 0% | 12 | $0.00 | |
| 90648 | 0% | 174 | $0.00 | |
| 90681 | 0% | 79 | $0.00 | |
| 90633 | 0% | 89 | $0.00 | |
| 90685 | 0% | 30 | $0.00 | |
| 90461 | 0% | 15 | $0.00 | |
| 90723 | 0% | 267 | $0.00 | |
| 90698 | 0% | 44 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 12 | $0.00 |
| 90647 | 0% | 108 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 45 | $0.00 |
| 3074F | 0% | 12 | $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 officialBARANSKI, KENNETH (PRESIDENT & CEO)
Parent organizationMCLAREN THUMB REGION
| Provider | Location | Paid |
|---|---|---|
| Mclaren Caro Region | Caro, MI | $5.78M |
| Mclaren Thumb Region | Bad Axe, MI | $4.97M |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $913K |
| Hills & Dales General Hospital, INC. | Kingston, MI | $603K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $588K |
| Hills & Dales General Hospital, INC. | Cass City, MI | $491K |
| Hills & Dales General Hospital, INC. | Cass City, MI | $478K |
| Mclaren Thumb Region | Bad Axe, MI | $385K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $251K |
| Hills & Dales General Hospital, INC. | Cass City, MI | $231K |
| Mclaren Thumb Region | Bad Axe, MI | $207K |
| Mclaren Thumb Region | Bad Axe, MI | $154K |
| Hills & Dales General Hospital, INC. | Ubly, MI | $146K |
| Mclaren Thumb Region | Ubly, MI | $120K |
| Mclaren Caro Region | Caro, MI | $99K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $86K |
| Mclaren Caro Region | Caro, MI | $75K |
| Mclaren Thumb Region | Bad Axe, MI | $71K |
| Mclaren Caro Region | Caro, MI | $51K |
| Mclaren Caro Region | Vassar, MI | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.