Medicaid Provider Spending

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

MCLAREN HEALTH MANAGEMENT GROUP

NPI: 1477938686 · FLINT, MI 48507 · Clinical Medical Laboratory · NPI assigned 07/29/2015

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

Authorized official LOY, STEVEN controls 20+ related entities in our dataset. Read more

$1.75M
Total Medicaid Paid
210,707
Total Claims
199,143
Beneficiaries
156
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOY, STEVEN (VP - CFO)
NPI Enumeration Date07/29/2015

Related Entities

Other providers sharing the same authorized official: LOY, STEVEN

ProviderCityStateTotal Paid
MCLAREN HEALTH MANAGEMENT GROUP CLINTON TWP MI $3.60M
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $2.53M
MCLAREN HEALTH MANAGEMENT GROUP BAY CITY MI $1.86M
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $1.61M
MCLAREN HEALTH MANAGEMENT GROUP CHEBOYGAN MI $1.58M
MCLAREN HEALTH MANAGEMENT GROUP LANSING MI $1.52M
MCLAREN HEALTH MANAGEMENT GROUP MT PLEASANT MI $840K
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $720K
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $63K
MCLAREN HEALTH MANAGEMENT GROUP PORT HURON MI $56K
MCLAREN HEALTH MANAGEMENT GROUP FENTON MI $48K
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $34K
MCLAREN HEALTH MANAGEMENT GROUP BAD AXE MI $13K
MCLAREN HEALTH MANAGEMENT GROUP PETOSKEY MI $8K
MCLAREN HEALTH MANAGEMENT GROUP LANSING MI $7K
MCLAREN HEALTH MANAGEMENT GROUP MOUNT PLEASANT MI $5K
MCLAREN HEALTH MANAGEMENT GROUP PETOSKEY MI $4K
MCLAREN HEALTH MANAGEMENT GROUP MIDLAND MI $3K
MCLAREN HEALTH MANAGEMENT GROUP DAVISON MI $3K
MCLAREN HEALTH MANAGEMENT GROUP OKEMOS MI $715.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 874 $12K
2019 22,389 $114K
2020 30,607 $273K
2021 47,636 $412K
2022 41,881 $393K
2023 35,970 $320K
2024 31,350 $228K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 15,249 10,285 $241K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,062 6,979 $102K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,301 7,282 $97K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,386 6,310 $95K
84443 Thyroid stimulating hormone (TSH) 9,828 9,782 $84K
83013 1,899 1,894 $80K
80053 Comprehensive metabolic panel 14,164 13,411 $77K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,028 14,328 $66K
80061 Lipid panel 10,938 10,901 $66K
83036 Hemoglobin; glycosylated (A1C) 9,228 9,186 $47K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,798 2,794 $45K
80074 1,864 1,841 $41K
84439 7,080 7,064 $35K
82607 4,295 4,286 $35K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,634 2,631 $35K
87390 3,143 3,130 $34K
88307 268 260 $32K
87086 Culture, bacterial; quantitative colony count, urine 8,972 8,729 $30K
87070 5,897 5,835 $23K
88312 1,167 882 $21K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 370 319 $20K
86702 3,182 3,169 $20K
86696 1,762 1,654 $18K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,484 1,468 $16K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 562 450 $15K
86701 3,169 3,157 $15K
87480 2,006 1,981 $15K
87077 3,151 3,099 $14K
87660 1,940 1,916 $14K
87510 1,941 1,916 $14K
86803 1,968 1,965 $13K
87186 3,288 3,234 $13K
86235 399 399 $13K
86695 1,710 1,601 $13K
88304 1,518 1,218 $12K
80048 Basic metabolic panel (calcium, ionized) 2,546 2,066 $12K
84154 1,119 1,117 $12K
84481 1,923 1,922 $12K
86003 206 201 $11K
86038 1,628 1,622 $10K
83655 1,225 1,224 $8K
86200 863 863 $7K
86694 913 911 $7K
82105 671 670 $7K
82746 881 878 $6K
86480 223 223 $6K
82043 1,665 1,663 $6K
86376 665 662 $6K
82570 1,713 1,707 $6K
84144 385 385 $5K
83014 900 900 $5K
84153 539 538 $5K
82728 672 666 $4K
84702 584 555 $4K
84165 422 407 $4K
84403 237 237 $3K
86780 555 555 $3K
82248 1,854 1,854 $3K
86592 1,627 1,617 $3K
86706 723 721 $3K
83735 950 755 $3K
84146 267 266 $3K
85027 800 780 $3K
87340 698 696 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 161 140 $3K
83540 856 848 $3K
83721 378 378 $2K
86334 227 219 $2K
86140 1,264 819 $2K
82627 155 155 $2K
83550 513 511 $2K
84425 200 199 $2K
87147 837 832 $2K
80164 304 296 $2K
86300 190 189 $2K
83718 343 343 $2K
84450 589 589 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 37 37 $2K
87205 862 851 $2K
83525 296 295 $2K
82626 163 163 $2K
82085 365 364 $2K
86225 179 179 $2K
84460 606 606 $1K
81003 1,032 1,020 $1K
81001 900 859 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 125 125 $1K
87634 31 31 $1K
83001 84 84 $1K
88342 53 38 $1K
82785 105 104 $1K
87522 Neg quan hep c or qual rna 53 53 $1K
36415 Collection of venous blood by venipuncture 2,294 1,972 $967.50
86258 57 57 $913.84
88142 103 103 $910.11
86364 57 57 $884.22
83002 69 69 $878.38
85652 1,034 721 $856.00
83690 227 225 $845.59
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 18 17 $831.81
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 48 43 $826.50
82550 216 187 $790.69
86800 76 76 $745.08
83970 45 45 $744.52
84402 42 42 $739.50
82150 170 167 $696.85
84479 203 202 $649.56
82784 32 32 $621.54
84100 240 222 $548.51
82565 399 293 $544.94
86769 20 20 $505.77
82465 171 169 $502.91
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 19 15 $500.87
80177 43 41 $404.25
87075 88 88 $385.37
84550 183 180 $382.12
82274 34 34 $347.94
87081 170 169 $345.04
86160 21 21 $336.34
86141 38 38 $330.98
86762 67 67 $327.42
80076 96 96 $309.55
84520 257 185 $291.49
84703 59 59 $278.21
86431 85 85 $254.37
83516 30 24 $250.11
87427 41 41 $243.88
82670 14 14 $241.64
86708 45 45 $227.21
85660 58 58 $207.77
87045 43 43 $198.54
85060 13 13 $182.91
87338 16 16 $170.43
87209 14 14 $146.34
82330 20 20 $134.09
86704 28 28 $133.56
86709 35 35 $124.69
83020 12 12 $123.60
84166 12 12 $123.60
84207 24 24 $113.09
86787 14 14 $107.46
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 12 12 $96.86
80178 27 25 $96.41
82270 57 57 $91.38
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $91.30
86340 24 24 $86.82
86901 39 39 $74.88
86900 38 38 $72.92
87177 27 26 $26.86
84156 13 13 $21.98
87902 16 16 $16.00
82947 12 12 $7.31
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 28 27 $0.52
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 188 187 $0.00
80050 General health panel 85 85 $0.00
84480 14 14 $0.00