Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1265596126 · ALMA, MI 48801 · Urology Physician · NPI assigned 12/21/2006

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

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

$134K
Total Medicaid Paid
3,701
Total Claims
3,295
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER ALMA
NPI Enumeration Date12/21/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 585 $20K
2019 565 $22K
2020 509 $22K
2021 1,419 $39K
2022 277 $13K
2023 169 $8K
2024 177 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99238 Hospital discharge day management, 30 minutes or less 1,491 1,439 $61K
99460 532 529 $30K
99232 Subsequent hospital care, per day, moderate complexity 376 133 $13K
0012A 330 330 $11K
0011A 346 345 $9K
0002A 54 54 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 57 28 $2K
97597 129 65 $2K
0001A 56 56 $2K
54150 24 24 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24 16 $764.44
91301 247 241 $0.00
91300 35 35 $0.00