Munson Healthcare Cadillac
Munson Healthcare Cadillac was paid $330K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.
CADILLAC, MI 49601
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 | 968 | $42K | |
| 2019 | 716 | $36K | |
| 2020 | 851 | $48K | |
| 2021 | 950 | $58K | |
| 2022 | 971 | $67K | |
| 2023 | 805 | $48K | |
| 2024incomplete | 476 | $31K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 926 | 924 | $74K |
| 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 | 22% | 1,221 | 1,193 | $73K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 1,329 | 1,325 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,331 | 1,296 | $53K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.7% | 111 | 111 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.0% | 358 | 358 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.0% | 71 | 71 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.8% | 51 | 51 | $6K |
| 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 | 1.8% | 71 | 71 | $6K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 104 | 103 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | 92 | $2K |
| 11721 | <1% | 14 | 14 | $355.77 |
2 more codes
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.