Physician
Mymichigan Medical Center Alpena
Mymichigan Medical Center Alpena was paid $249K by Medicaid between Jan 2018 and Jun 2018, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER ALPENA
ALPENA, MI 49707
ALPENA, MI 49707
33aNPI1427282011assigned 05/11/2009
33bProvider typePediatrics Physician
28Total paid$249K
24GClaims7,221
24DCodes billed43
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#186 of 349
Median peer was paid$321K
This provider vs. median0.8×
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.
Entity ProliferationAuthorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,221 | $249K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,770 | 1,585 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 457 | 447 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 370 | 363 | $29K |
| 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 | 10% | 437 | 417 | $26K |
| 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 | 5.0% | 141 | 141 | $13K |
| 59426 | 4.9% | 16 | 16 | $12K | |
| 59430 | 4.1% | 60 | 59 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 88 | 88 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 102 | 101 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 102 | 98 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 198 | 198 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 294 | 283 | $4K |
31 more codes
| 99460 | 1.4% | 66 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 500 | $3K |
| 59025 | Fetal non-stress test | 1.2% | 132 | $3K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.1% | 40 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 43 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 216 | $2K |
| 90715 | <1% | 61 | $2K | |
| 95886 | <1% | 13 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 98 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $955.82 |
| 94060 | <1% | 136 | $916.25 | |
| 54150 | <1% | 12 | $870.06 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | $829.93 |
| 94726 | <1% | 133 | $828.52 | |
| 94729 | <1% | 136 | $629.74 | |
| 81025 | <1% | 135 | $601.98 | |
| 94618 | <1% | 56 | $579.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 209 | $535.01 |
| 90686 | <1% | 49 | $372.05 | |
| 92567 | <1% | 13 | $105.56 | |
| 85018 | <1% | 25 | $60.40 | |
| 94010 | <1% | 13 | $58.69 | |
| 81002 | <1% | 37 | $36.23 | |
| 90633 | 0% | 89 | $0.00 | |
| 0502F | 0% | 72 | $0.00 | |
| 90710 | 0% | 78 | $0.00 | |
| 90685 | 0% | 39 | $0.00 | |
| 90670 | 0% | 243 | $0.00 | |
| 90647 | 0% | 179 | $0.00 | |
| 90723 | 0% | 177 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent organizationMYMICHIGAN HEALTH
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.