Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAGINAW

NPI: 1346543410 · SAGINAW, MI 48601 · Pulmonary Disease Physician · NPI assigned 12/13/2010

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

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

$331K
Total Medicaid Paid
7,506
Total Claims
5,655
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date12/13/2010

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 1,925 $81K
2019 1,649 $79K
2020 1,096 $49K
2021 745 $37K
2022 716 $30K
2023 879 $34K
2024 496 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,984 1,948 $108K
99232 Subsequent hospital care, per day, moderate complexity 1,876 803 $65K
99233 Prolong inpt eval add15 m 902 411 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,145 1,125 $42K
99223 Prolong inpt eval add15 m 340 322 $32K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 248 65 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 95 95 $8K
99283 Emergency department visit for the evaluation and management, moderate severity 16 16 $2K
94726 227 221 $1K
94060 228 222 $1K
94729 227 221 $953.64
99222 Initial hospital care, per day, moderate complexity 14 14 $870.54
94618 75 75 $815.82
95806 14 13 $474.28
99231 Subsequent hospital care, per day, straightforward or low complexity 23 14 $400.35
99406 37 36 $240.86
94664 40 39 $9.75
A9270 Non-covered item or service 15 15 $0.00