Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › BAY CITY › MCLAREN BAY REGION

MCLAREN BAY REGION

NPI: 1508131087 · BAY CITY, MI 48708 · Internal Medicine Physician · NPI assigned 03/15/2012

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

Authorized official JACKS PORTER, DANIELLE controls 11+ related entities in our dataset. Read more

$9.34M
Total Medicaid Paid
233,914
Total Claims
195,093
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKS PORTER, DANIELLE (CFO)
NPI Enumeration Date03/15/2012

Related Entities

Other providers sharing the same authorized official: JACKS PORTER, DANIELLE

ProviderCityStateTotal Paid
MCLAREN BAY REGION BAY CITY MI $31.72M
MCLAREN BAY REGION BAY CITY MI $937K
MCLAREN BAY REGION ESSEXVILLE MI $288K
MCLAREN PRIMARY CARE WEST BRANCH MI $250K
MCLAREN PRIMARY CARE SAINT HELEN MI $115K
MCLAREN BAY REGION SAGINAW MI $101K
MCLAREN PRIMARY CARE ALGER MI $99K
MCLAREN PRIMARY CARE MIO MI $67K
MCLAREN PRIMARY CARE ROSE CITY MI $42K
MCLAREN BAY REGION BAY CITY MI $40K
MCLAREN PRIMARY CARE WEST BRANCH MI $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,864 $1.29M
2019 46,551 $1.51M
2020 35,236 $1.24M
2021 32,015 $1.36M
2022 29,698 $1.34M
2023 31,210 $1.44M
2024 23,340 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,716 27,401 $1.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,415 36,695 $1.55M
99232 Subsequent hospital care, per day, moderate complexity 23,137 6,601 $823K
99223 Prolong inpt eval add15 m 5,255 4,346 $495K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,999 3,991 $364K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,579 4,522 $360K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,442 3,433 $324K
99222 Initial hospital care, per day, moderate complexity 4,591 3,963 $292K
99233 Prolong inpt eval add15 m 5,041 2,051 $271K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,445 4,404 $258K
99215 Prolong outpt/office vis 3,195 1,991 $235K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,643 4,589 $235K
99239 Hospital discharge day management, more than 30 minutes 4,160 3,939 $233K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,368 2,359 $195K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,119 2,107 $173K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,060 2,051 $150K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,235 4,101 $148K
93458 1,000 954 $137K
J0585 Injection, onabotulinumtoxina, 1 unit 343 135 $126K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,007 628 $118K
20610 3,447 2,504 $100K
99221 2,037 1,791 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,794 3,623 $89K
99417 Prolong home eval add 15m 1,686 315 $80K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,915 1,900 $73K
99238 Hospital discharge day management, 30 minutes or less 1,966 1,931 $73K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,487 9,116 $47K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,006 529 $45K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,312 1,438 $42K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,075 5,034 $39K
99460 667 666 $35K
90472 Immunization administration, each additional vaccine (list separately) 2,383 2,372 $34K
99220 355 343 $30K
99205 Prolong outpt/office vis 274 272 $26K
95886 844 588 $23K
99217 614 605 $21K
93298 1,613 1,611 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,303 1,295 $19K
99058 281 273 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 367 363 $17K
90686 3,231 3,221 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 357 343 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,305 1,266 $15K
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg 27 12 $14K
64615 202 195 $14K
93880 634 592 $13K
70450 Computed tomography, head or brain; without contrast material 546 511 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,175 1,087 $11K
93351 230 226 $10K
93018 1,344 1,312 $9K
99496 83 81 $8K
93016 686 670 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 193 192 $7K
99152 1,156 1,074 $7K
71045 Radiologic examination, chest; single view 1,546 1,069 $7K
99219 98 96 $7K
71046 Radiologic examination, chest; 2 views 1,159 1,090 $6K
93000 769 751 $6K
71275 Computed tomographic angiography, chest, with contrast material 120 117 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 379 355 $5K
90792 Psychiatric diagnostic evaluation with medical services 59 57 $5K
90715 374 373 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 91 89 $5K
96127 2,976 2,372 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 772 718 $4K
90651 381 375 $4K
98926 181 165 $4K
99463 61 61 $4K
93295 238 238 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 241 237 $4K
72125 Computed tomography, cervical spine; without contrast material 136 136 $4K
83036 Hemoglobin; glycosylated (A1C) 436 434 $4K
93320 399 391 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 288 275 $3K
95910 55 54 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 91 $3K
93350 150 89 $3K
99406 292 280 $2K
99000 374 358 $2K
99383 25 25 $2K
90670 2,060 2,056 $2K
77067 Screening mammography, bilateral, including computer-aided detection 107 107 $2K
93971 165 154 $2K
95251 130 123 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 118 116 $2K
93294 150 150 $2K
73564 302 287 $2K
72110 207 206 $2K
99225 272 187 $2K
90474 452 451 $2K
76830 Ultrasound, transvaginal 83 83 $2K
74022 169 167 $1K
93970 75 71 $1K
76775 89 88 $1K
81002 665 632 $1K
73630 289 270 $1K
99495 17 16 $1K
99401 61 59 $1K
73130 245 226 $1K
73610 239 219 $1K
99442 106 103 $1K
93228 78 78 $1K
73030 205 197 $1K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 26 25 $922.32
27096 12 12 $911.14
76942 48 38 $882.14
99441 127 126 $827.91
73110 159 151 $726.72
73502 121 118 $679.16
74018 143 136 $676.45
93312 14 14 $643.35
70551 Magnetic resonance imaging, brain; without contrast material 16 15 $583.95
93325 376 366 $577.92
93793 461 177 $556.70
20553 16 15 $547.22
93922 77 71 $530.92
95908 12 12 $498.58
98925 34 33 $495.62
93280 13 13 $467.10
72141 14 14 $462.00
70496 12 12 $443.97
71260 Computed tomography, thorax, diagnostic; with contrast material 14 14 $383.91
76937 49 40 $367.94
76801 15 13 $366.81
72050 46 45 $365.67
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) 140 139 $359.76
71101 47 47 $356.18
99443 31 31 $328.29
93227 31 29 $327.45
73080 67 64 $302.85
93923 26 26 $302.19
71250 13 13 $296.58
72100 49 49 $279.48
90716 863 862 $272.52
73590 57 52 $247.05
93272 34 33 $246.31
70486 12 12 $240.72
J1885 Injection, ketorolac tromethamine, per 15 mg 207 194 $223.21
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 66 56 $185.37
90473 16 16 $160.16
76536 13 12 $158.50
81025 24 24 $147.23
90734 275 273 $128.85
94726 18 18 $112.62
0296T 25 25 $108.42
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24 24 $101.05
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 13 13 $91.80
94729 20 19 $88.82
81003 41 39 $79.99
99153 Mod sedat endo service >5yrs 458 424 $75.77
96160 94 78 $55.68
0298T 12 12 $42.11
82962 151 147 $23.65
97802 13 12 $10.00
90723 1,816 1,813 $0.00
90647 1,722 1,721 $0.00
90696 97 97 $0.00
90680 76 76 $0.00
90688 327 325 $0.00
90681 674 673 $0.00
90633 1,067 1,065 $0.00
90707 929 927 $0.00
90700 99 99 $0.00
90672 89 89 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 53 51 $0.00