Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER CLARE

NPI: 1376872341 · CLARE, MI 48617 · Rural Health Clinic/Center · NPI assigned 12/21/2009

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

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

$4.18M
Total Medicaid Paid
135,627
Total Claims
109,827
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER CLARE
NPI Enumeration Date12/21/2009

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 20,748 $621K
2019 19,582 $558K
2020 20,319 $590K
2021 22,298 $694K
2022 18,072 $589K
2023 18,400 $580K
2024 16,208 $551K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 66,650 49,670 $2.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,155 32,826 $1.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,398 12,348 $277K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,238 3,185 $128K
90837 Psychotherapy, 53 minutes with patient 2,616 2,028 $94K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,893 1,870 $54K
99215 Prolong outpt/office vis 625 599 $29K
90834 Psychotherapy, 45 minutes with patient 854 757 $22K
90791 Psychiatric diagnostic evaluation 301 237 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 840 777 $9K
90686 497 497 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 753 707 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 948 930 $6K
90832 Psychotherapy, 30 minutes with patient 140 122 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 151 151 $3K
90632 45 45 $2K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 103 103 $2K
81025 313 302 $2K
90715 53 53 $1K
90714 47 47 $816.22
20610 69 68 $688.85
90472 Immunization administration, each additional vaccine (list separately) 101 101 $662.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 130 128 $614.47
83036 Hemoglobin; glycosylated (A1C) 54 54 $331.71
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 99 97 $311.78
90656 17 16 $308.45
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 114 113 $274.90
99441 18 15 $74.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 183 171 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,209 1,797 $0.00