Mclaren Flint
Mclaren Flint was paid $7.35M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
FLINT, MI 48532
Next to other Surgery Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 36,176 | $1.11M | |
| 2019 | 32,037 | $909K | |
| 2020 | 27,961 | $783K | |
| 2021 | 29,447 | $997K | |
| 2022 | 27,785 | $1.15M | |
| 2023 | 29,039 | $1.20M | |
| 2024incomplete | 27,306 | $1.20M |
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 | 22% | 58,667 | 53,799 | $1.59M |
| 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 | 21% | 42,528 | 40,325 | $1.55M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.1% | 17,597 | 5,440 | $667K |
| 99223 | Prolong inpt eval add15 m | 4.5% | 3,602 | 3,299 | $329K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 5,637 | 5,581 | $261K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.5% | 350 | 337 | $258K |
| 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 | 3.2% | 3,149 | 3,118 | $239K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.2% | 4,594 | 4,577 | $238K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 3,322 | 2,931 | $222K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 4,006 | 3,982 | $216K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 3,102 | 2,833 | $201K |
| 59426 | 2.7% | 336 | 307 | $200K |
95 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 2.2% | 2,956 | $163K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 3,921 | $149K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 1,719 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 2,503 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 4,298 | $81K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,768 | $63K |
| 99220 | <1% | 679 | $61K | |
| 99205 | Prolong outpt/office vis | <1% | 590 | $58K |
| 59430 | <1% | 336 | $55K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,645 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,098 | $47K |
| 99221 | <1% | 888 | $42K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,070 | $40K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 288 | $33K |
| 96160 | <1% | 680 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,599 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 586 | $26K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,318 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,190 | $22K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 659 | $19K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 217 | $17K |
| 90686 | <1% | 2,010 | $16K | |
| 99460 | <1% | 306 | $16K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 633 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,794 | $11K |
| 90715 | <1% | 640 | $10K | |
| 81025 | <1% | 1,967 | $10K | |
| 99217 | <1% | 261 | $9K | |
| 59025 | Fetal non-stress test | <1% | 374 | $7K |
| 93000 | <1% | 1,464 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 558 | $6K |
| 81003 | <1% | 3,080 | $5K | |
| 90670 | <1% | 852 | $5K | |
| 54150 | <1% | 90 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 344 | $4K |
| 99496 | <1% | 28 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 106 | $3K |
| 76820 | <1% | 228 | $3K | |
| 99495 | <1% | 43 | $3K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 57 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 124 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 241 | $3K |
| 99442 | <1% | 182 | $2K | |
| 99000 | <1% | 268 | $2K | |
| 94010 | <1% | 165 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 57 | $2K |
| 76801 | <1% | 65 | $2K | |
| 58100 | <1% | 37 | $2K | |
| 99443 | <1% | 76 | $2K | |
| 99385 | <1% | 25 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 216 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 118 | $1K |
| 99235 | <1% | 12 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 17 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 496 | $977.40 |
| 81002 | <1% | 547 | $895.63 | |
| 99441 | <1% | 129 | $872.20 | |
| 99381 | <1% | 12 | $796.33 | |
| 99058 | <1% | 12 | $780.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 490 | $737.24 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 34 | $727.44 |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 12 | $502.74 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 13 | $471.28 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 42 | $406.97 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 290 | $325.36 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 134 | $309.53 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $239.76 |
| 90632 | <1% | 12 | $218.26 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 86 | $188.26 |
| 86580 | <1% | 41 | $176.53 | |
| 76937 | <1% | 13 | $108.03 | |
| 90734 | <1% | 18 | $104.13 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 12 | $79.32 |
| 90461 | 0% | 760 | $0.00 | |
| 0502F | 0% | 4,256 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 212 | $0.00 |
| 90633 | 0% | 148 | $0.00 | |
| 3078F | 0% | 924 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 125 | $0.00 |
| 90700 | 0% | 13 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 182 | $0.00 |
| 3015F | 0% | 13 | $0.00 | |
| 90647 | 0% | 367 | $0.00 | |
| 3074F | 0% | 948 | $0.00 | |
| 3075F | 0% | 100 | $0.00 | |
| 3079F | 0% | 214 | $0.00 | |
| 90723 | 0% | 324 | $0.00 | |
| 90688 | 0% | 154 | $0.00 | |
| 3044F | 0% | 161 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 3017F | 0% | 15 | $0.00 | |
| 3048F | 0% | 38 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 14 | $0.00 |
| 0500F | 0% | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mclaren Flint | Flint, MI | $43.44M |
| Mclaren Lapeer Region | Lapeer, MI | $16.98M |
| Mclaren Lapeer Region | Lapeer, MI | $2.23M |
| Mclaren Flint | Flint, MI | $472K |
| Mclaren Flint | Flint, MI | $308K |
| Mclaren Flint | Flint, MI | $218K |
| Mclaren Flint | Flint, MI | $181K |
| Mclaren Flint | Flint, MI | $77K |
| Mclaren Flint | Flint, MI | $38K |
| Mclaren Lapeer Region | Lapeer, MI | $18K |
| Mclaren Lapeer Region | Lapeer, MI | $14K |
| Mclaren Lapeer Region | Lapeer, MI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.