Mclaren Central Michigan
Mclaren Central Michigan was paid $180K by Medicaid between Feb 2021 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
MT PLEASANT, MI 48858
Next to other Rural Health Clinic/Center providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,431 | $40K | |
| 2022 | 862 | $26K | |
| 2023 | 1,931 | $58K | |
| 2024incomplete | 2,098 | $57K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 1,337 | 1,284 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 594 | 563 | $27K |
| 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 | 15% | 299 | 297 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 295 | 285 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.9% | 207 | 206 | $12K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.3% | 3,264 | 2,996 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 150 | 150 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 102 | 97 | $2K |
| 99406 | <1% | 36 | 36 | $243.30 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 13 | 13 | $209.69 |
| 90474 | <1% | 25 | 25 | $167.10 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mclaren Central Michigan | Mt Pleasant, MI | $14.87M |
| Mclaren Central Michigan | Mount Pleasant, MI | $2.76M |
| Mclaren Central Michigan | Petoskey, MI | $1.23M |
| Mclaren Central Michigan | West Branch, MI | $691K |
| Mclaren Central Michigan | Cheboygan, MI | $218K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.