Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALPENA

NPI: 1427282011 · ALPENA, MI 49707 · Pediatrics Physician · NPI assigned 05/11/2009

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

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

$249K
Total Medicaid Paid
7,221
Total Claims
6,838
Beneficiaries
43
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN HEALTH
NPI Enumeration Date05/11/2009

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 7,221 $249K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,770 1,585 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 457 447 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 370 363 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 437 417 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 141 141 $13K
59426 16 16 $12K
59430 60 59 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 88 88 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 102 101 $6K
99238 Hospital discharge day management, 30 minutes or less 102 98 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 198 198 $4K
90472 Immunization administration, each additional vaccine (list separately) 294 283 $4K
99460 66 66 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 500 488 $3K
59025 Fetal non-stress test 132 87 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 40 39 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 91 86 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 43 43 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 216 212 $2K
90715 61 60 $2K
95886 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 98 90 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $955.82
94060 136 131 $916.25
54150 12 12 $870.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 83 78 $829.93
94726 133 129 $828.52
94729 136 132 $629.74
81025 135 135 $601.98
94618 56 51 $579.60
36415 Collection of venous blood by venipuncture 209 204 $535.01
90686 49 49 $372.05
92567 13 13 $105.56
85018 25 25 $60.40
94010 13 13 $58.69
81002 37 36 $36.23
90633 89 88 $0.00
0502F 72 39 $0.00
90710 78 77 $0.00
90685 39 39 $0.00
90670 243 241 $0.00
90647 179 178 $0.00
90723 177 176 $0.00