Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAULT

NPI: 1295756948 · SAULT SAINTE MARIE, MI 49783 · General Acute Care Hospital · NPI assigned 07/21/2006

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

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

$13.47M
Total Medicaid Paid
507,777
Total Claims
425,734
Beneficiaries
280
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date07/21/2006

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67,239 $1.60M
2019 63,740 $1.66M
2020 65,401 $1.70M
2021 77,795 $2.24M
2022 88,651 $2.42M
2023 84,433 $2.22M
2024 60,518 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 40,207 33,152 $2.50M
99284 Emergency department visit for the evaluation and management, high severity 9,285 8,472 $1.86M
99283 Emergency department visit for the evaluation and management, moderate severity 12,115 11,365 $1.55M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,676 4,349 $1.31M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,483 5,428 $554K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,406 4,850 $474K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,520 2,801 $437K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,600 3,485 $264K
96361 Intravenous infusion, hydration; each additional hour 4,656 3,707 $260K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,509 1,452 $232K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,798 1,395 $207K
59025 Fetal non-stress test 1,610 814 $155K
96375 Therapeutic injection; each additional sequential IV push 5,006 4,059 $154K
70450 Computed tomography, head or brain; without contrast material 1,514 1,461 $151K
71046 Radiologic examination, chest; 2 views 3,083 2,944 $138K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,678 1,819 $133K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,181 936 $127K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,798 2,798 $114K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,103 2,965 $111K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,720 1,818 $104K
90834 Psychotherapy, 45 minutes with patient 1,198 1,086 $87K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,384 7,307 $86K
97161 1,745 1,713 $84K
90791 Psychiatric diagnostic evaluation 760 753 $72K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,050 612 $71K
84443 Thyroid stimulating hormone (TSH) 12,198 11,687 $70K
71045 Radiologic examination, chest; single view 1,770 1,683 $68K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,977 3,706 $68K
80053 Comprehensive metabolic panel 24,106 21,293 $68K
95810 Polysomnography; sleep staging with 4 or more additional parameters 129 128 $67K
80061 Lipid panel 6,611 6,558 $67K
87428 1,775 1,637 $63K
77067 Screening mammography, bilateral, including computer-aided detection 1,295 1,295 $63K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,518 3,449 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,511 3,445 $58K
86900 1,792 1,712 $56K
36415 Collection of venous blood by venipuncture 38,223 31,778 $53K
74176 Computed tomography, abdomen and pelvis; without contrast material 440 424 $52K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,924 23,494 $51K
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 2,721 2,391 $50K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 143 140 $49K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 919 860 $46K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 363 356 $45K
76830 Ultrasound, transvaginal 704 698 $42K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 658 618 $41K
Q3014 Telehealth originating site facility fee 2,923 2,607 $40K
86870 334 328 $40K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,418 2,380 $36K
62323 106 97 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,078 1,041 $36K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 546 545 $34K
99281 Emergency department visit for the evaluation and management, self-limited or minor 802 783 $33K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 2,593 2,590 $30K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 230 230 $27K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 92 92 $24K
83036 Hemoglobin; glycosylated (A1C) 5,328 5,279 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,671 3,981 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 180 180 $23K
96367 436 282 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,209 5,444 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 357 355 $21K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,147 1,081 $21K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,088 1,088 $20K
73564 940 907 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,460 2,430 $19K
82607 2,845 2,810 $18K
87070 5,150 4,961 $18K
97535 Self-care/home management training, each 15 minutes 1,035 739 $18K
82728 3,021 2,951 $17K
73630 1,099 1,044 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,359 2,344 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,279 2,222 $16K
87400 2,163 2,116 $15K
73610 871 775 $14K
87086 Culture, bacterial; quantitative colony count, urine 6,407 5,867 $14K
84439 3,451 3,375 $14K
97602 187 69 $13K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 47 47 $13K
77063 Screening digital breast tomosynthesis, bilateral 962 962 $12K
87186 3,613 3,452 $12K
86780 1,578 1,569 $12K
73130 749 685 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 49 48 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 164 162 $10K
90472 Immunization administration, each additional vaccine (list separately) 805 800 $9K
82746 1,472 1,459 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $9K
86803 1,529 1,513 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 125 124 $8K
73110 421 381 $7K
80306 4,546 4,136 $7K
81001 14,350 12,774 $7K
87088 2,315 2,219 $6K
90686 363 359 $6K
87077 2,301 2,243 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 721 703 $6K
80048 Basic metabolic panel (calcium, ionized) 4,189 3,757 $6K
83735 5,129 4,554 $6K
85027 3,143 2,773 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,550 784 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 831 758 $5K
73030 427 410 $5K
87340 2,053 2,036 $5K
83540 1,714 1,661 $5K
76536 76 76 $4K
83880 974 917 $4K
84466 744 725 $4K
97165 70 69 $4K
86140 4,781 4,389 $4K
73221 31 29 $4K
87210 1,419 1,390 $4K
84702 874 673 $4K
97597 39 12 $3K
86706 693 686 $3K
90837 Psychotherapy, 53 minutes with patient 37 30 $3K
71250 38 38 $3K
81025 4,506 4,219 $3K
90832 Psychotherapy, 30 minutes with patient 39 32 $3K
85610 3,652 3,108 $3K
87522 Neg quan hep c or qual rna 140 138 $3K
20611 17 14 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 238 237 $3K
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 175 175 $2K
82570 1,143 1,073 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 36 36 $2K
94060 15 15 $2K
80076 1,617 1,518 $2K
74178 12 12 $2K
99406 155 153 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 618 603 $2K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 210 209 $2K
97162 41 41 $2K
86708 400 398 $2K
86704 417 414 $2K
20553 12 12 $2K
72110 63 62 $2K
93017 63 63 $2K
87807 732 698 $2K
82947 791 768 $2K
85007 1,784 1,522 $2K
85652 1,826 1,746 $2K
74018 125 109 $2K
76770 25 25 $2K
87506 15 15 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,143 3,012 $2K
87521 Neg quan hep c or qual rna 114 114 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,366 1,063 $2K
82784 186 184 $2K
76642 36 36 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 53 53 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 30 30 $1K
86038 313 312 $1K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 24 24 $1K
72125 Computed tomography, cervical spine; without contrast material 124 122 $1K
92551 212 209 $1K
84481 180 170 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $1K
83655 210 209 $1K
84403 88 87 $1K
90670 19 15 $1K
83690 3,810 3,479 $1K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $997.08
82565 745 705 $996.40
87276 302 297 $936.25
36592 2,544 2,386 $928.79
87653 59 59 $868.23
85730 2,147 1,997 $862.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 67 66 $717.15
86592 299 297 $712.68
87275 301 296 $705.92
73502 42 41 $659.64
86850 1,690 1,636 $646.04
83970 50 49 $631.84
51798 211 207 $623.42
87081 262 259 $585.25
81002 1,061 1,027 $571.54
90474 188 188 $558.00
82950 209 209 $557.63
87800 27 27 $532.78
86709 84 83 $500.69
82043 183 181 $499.99
83550 120 116 $489.45
96130 129 128 $460.85
97035 77 28 $446.54
84144 39 36 $398.54
82150 523 488 $345.98
82550 191 176 $339.65
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 49 46 $300.31
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $276.04
88142 30 30 $275.40
84484 3,290 2,316 $264.98
86762 616 614 $244.77
84460 87 87 $242.44
84156 197 163 $239.40
82077 1,539 1,291 $230.60
88304 285 278 $227.74
90460 Immunization administration through 18 years of age via any route, first or only component 35 34 $210.00
86800 31 31 $188.29
84550 139 132 $182.72
86376 29 29 $155.86
87808 24 24 $150.48
86431 74 74 $144.86
84100 129 114 $109.68
85379 237 233 $107.12
82951 15 15 $105.60
84165 25 25 $98.24
84703 73 71 $94.60
87430 30 30 $92.00
82248 93 80 $87.17
84145 1,112 1,070 $86.73
87075 25 25 $82.88
86334 12 12 $66.45
96127 50 49 $65.12
82962 2,032 1,335 $62.21
85018 85 77 $61.92
86618 12 12 $60.78
87328 12 12 $49.32
80178 16 12 $45.65
83615 31 27 $42.66
85014 55 50 $40.02
84155 25 25 $33.58
81003 26 25 $29.13
82310 12 12 $27.80
86901 1,790 1,712 $25.31
82180 12 12 $23.52
87040 156 94 $23.32
88312 26 25 $22.75
83605 1,184 891 $19.01
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 26 25 $5.44
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 49 42 $4.55
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,204 4,804 $3.00
J2060 Injection, lorazepam, 2 mg 805 574 $1.18
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 671 610 $0.36
J3010 Injection, fentanyl citrate, 0.1 mg 3,478 2,514 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 2,434 1,888 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,936 2,548 $0.00
J2704 Injection, propofol, 10 mg 2,579 2,082 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 4,591 4,083 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 1,203 1,118 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 72 71 $0.00
96376 887 651 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 692 667 $0.00
J0690 Injection, cefazolin sodium, 500 mg 1,415 1,210 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,040 709 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 936 638 $0.00
J3490 Unclassified drugs 322 247 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 60 39 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 117 112 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 54 51 $0.00
G0378 Hospital observation service, per hour 30 28 $0.00
12001 12 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 15 12 $0.00
99153 Mod sedat endo service >5yrs 31 29 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 15 15 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 24 12 $0.00
J3360 Injection, diazepam, up to 5 mg 24 20 $0.00
82803 12 12 $0.00
90715 305 303 $0.00
99173 237 234 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 934 675 $0.00
90685 83 83 $0.00
76376 308 284 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 287 242 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 476 367 $0.00
99152 98 93 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 18 12 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 85 85 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 78 58 $0.00
Q0169 Promethazine hydrochloride, 12.5 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 90 50 $0.00
0353U 223 221 $0.00
90461 30 29 $0.00
90700 12 12 $0.00
82805 12 12 $0.00
90707 13 13 $0.00
90633 13 12 $0.00
94729 15 15 $0.00
88313 24 24 $0.00
80143 12 12 $0.00
94727 15 15 $0.00