Medicaid Provider Spending

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

MCLAREN CENTRAL MICHIGAN

NPI: 1346862455 · PETOSKEY, MI 49770 · Rural Health Clinic/Center · NPI assigned 05/12/2020

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

Authorized official SOULES, TARA controls 20+ related entities in our dataset. Read more

$1.23M
Total Medicaid Paid
43,161
Total Claims
39,016
Beneficiaries
31
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOULES, TARA (VP/CFO)
NPI Enumeration Date05/12/2020

Related Entities

Other providers sharing the same authorized official: SOULES, TARA

ProviderCityStateTotal Paid
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $14.87M
MCLAREN CENTRAL MICHIGAN MOUNT PLEASANT MI $2.76M
MCLAREN CENTRAL MICHIGAN WEST BRANCH MI $691K
MCLAREN CENTRAL MICHIGAN CHEBOYGAN MI $218K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $180K
MCLAREN CENTRAL MICHIGAN GAYLORD MI $177K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $168K
MCLAREN CENTRAL MICHIGAN SAINT HELEN MI $148K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $141K
MCLAREN CENTRAL MICHIGAN MIO MI $129K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $101K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $96K
MCLAREN CENTRAL MICHIGAN BROWN CITY MI $71K
MCLAREN CENTRAL MICHIGAN ALGER MI $69K
MCLAREN CENTRAL MICHIGAN PETOSKEY MI $68K
MCLAREN CENTRAL MICHIGAN CLARE MI $65K
MCLAREN CENTRAL MICHIGAN BAD AXE MI $61K
MCLAREN CENTRAL MICHIGAN STANDISH MI $61K
MCLAREN CENTRAL MICHIGAN OKEMOS MI $56K
MCLAREN CENTRAL MICHIGAN ROSE CITY MI $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 7,611 $212K
2022 12,474 $331K
2023 13,457 $383K
2024 9,619 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,175 6,448 $360K
T1015 Clinic visit/encounter, all-inclusive 19,157 16,550 $259K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,181 3,954 $154K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,213 2,178 $138K
99215 Prolong outpt/office vis 1,976 1,815 $131K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,086 2,037 $89K
99205 Prolong outpt/office vis 784 778 $63K
20610 621 479 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,343 1,329 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 29 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 82 79 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 258 250 $1K
73630 393 354 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 90 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $963.88
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 30 $550.20
73610 98 93 $385.32
90686 28 28 $340.36
51798 26 26 $109.70
73562 14 14 $87.68
73564 13 13 $70.31
73030 14 14 $57.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $47.53
81003 34 34 $27.95
3077F 14 13 $0.00
3078F 638 606 $0.00
G0444 Annual depression screening, 5 to 15 minutes 58 58 $0.00
3008F 940 888 $0.00
3074F 658 627 $0.00
3079F 161 158 $0.00
1111F 20 19 $0.00