Mclaren Bay Region
Mclaren Bay Region was paid $9.34M by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
BAY CITY, MI 48708
Next to other Internal Medicine Physician 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 23,340 | $1.18M |
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 | 17% | 29,716 | 27,401 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 40,415 | 36,695 | $1.55M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.8% | 23,137 | 6,601 | $823K |
| 99223 | Prolong inpt eval add15 m | 5.3% | 5,255 | 4,346 | $495K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 3,999 | 3,991 | $364K |
| 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 | 3.9% | 4,579 | 4,522 | $360K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 3,442 | 3,433 | $324K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.1% | 4,591 | 3,963 | $292K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 5,041 | 2,051 | $271K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 4,445 | 4,404 | $258K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 3,195 | 1,991 | $235K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 4,643 | 4,589 | $235K |
153 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 2.5% | 4,160 | $233K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 2,368 | $195K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 2,119 | $173K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 2,060 | $150K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 4,235 | $148K |
| 93458 | 1.5% | 1,000 | $137K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.3% | 343 | $126K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.3% | 1,007 | $118K |
| 20610 | 1.1% | 3,447 | $100K | |
| 99221 | <1% | 2,037 | $91K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,794 | $89K |
| 99417 | Prolong home eval add 15m | <1% | 1,686 | $80K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,915 | $73K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,966 | $73K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 11,487 | $47K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,006 | $45K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,312 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,075 | $39K |
| 99460 | <1% | 667 | $35K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,383 | $34K |
| 99220 | <1% | 355 | $30K | |
| 99205 | Prolong outpt/office vis | <1% | 274 | $26K |
| 95886 | <1% | 844 | $23K | |
| 99217 | <1% | 614 | $21K | |
| 93298 | <1% | 1,613 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,303 | $19K |
| 99058 | <1% | 281 | $18K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 367 | $17K |
| 90686 | <1% | 3,231 | $16K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 357 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,305 | $15K |
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | <1% | 27 | $14K |
| 64615 | <1% | 202 | $14K | |
| 93880 | <1% | 634 | $13K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 546 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,175 | $11K |
| 93351 | <1% | 230 | $10K | |
| 93018 | <1% | 1,344 | $9K | |
| 99496 | <1% | 83 | $8K | |
| 93016 | <1% | 686 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 193 | $7K |
| 99152 | <1% | 1,156 | $7K | |
| 71045 | Radiologic examination, chest; single view | <1% | 1,546 | $7K |
| 99219 | <1% | 98 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,159 | $6K |
| 93000 | <1% | 769 | $6K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 120 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 379 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 59 | $5K |
| 90715 | <1% | 374 | $5K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 91 | $5K |
| 96127 | <1% | 2,976 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 772 | $4K |
| 90651 | <1% | 381 | $4K | |
| 98926 | <1% | 181 | $4K | |
| 99463 | <1% | 61 | $4K | |
| 93295 | <1% | 238 | $4K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 241 | $4K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 136 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 436 | $4K |
| 93320 | <1% | 399 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 288 | $3K |
| 95910 | <1% | 55 | $3K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 91 | $3K |
| 93350 | <1% | 150 | $3K | |
| 99406 | <1% | 292 | $2K | |
| 99000 | <1% | 374 | $2K | |
| 99383 | <1% | 25 | $2K | |
| 90670 | <1% | 2,060 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 107 | $2K |
| 93971 | <1% | 165 | $2K | |
| 95251 | <1% | 130 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 118 | $2K |
| 93294 | <1% | 150 | $2K | |
| 73564 | <1% | 302 | $2K | |
| 72110 | <1% | 207 | $2K | |
| 99225 | <1% | 272 | $2K | |
| 90474 | <1% | 452 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 83 | $2K |
| 74022 | <1% | 169 | $1K | |
| 93970 | <1% | 75 | $1K | |
| 76775 | <1% | 89 | $1K | |
| 81002 | <1% | 665 | $1K | |
| 73630 | <1% | 289 | $1K | |
| 99495 | <1% | 17 | $1K | |
| 99401 | <1% | 61 | $1K | |
| 73130 | <1% | 245 | $1K | |
| 73610 | <1% | 239 | $1K | |
| 99442 | <1% | 106 | $1K | |
| 93228 | <1% | 78 | $1K | |
| 73030 | <1% | 205 | $1K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 26 | $922.32 |
| 27096 | <1% | 12 | $911.14 | |
| 76942 | <1% | 48 | $882.14 | |
| 99441 | <1% | 127 | $827.91 | |
| 73110 | <1% | 159 | $726.72 | |
| 73502 | <1% | 121 | $679.16 | |
| 74018 | <1% | 143 | $676.45 | |
| 93312 | <1% | 14 | $643.35 | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 16 | $583.95 |
| 93325 | <1% | 376 | $577.92 | |
| 93793 | <1% | 461 | $556.70 | |
| 20553 | <1% | 16 | $547.22 | |
| 93922 | <1% | 77 | $530.92 | |
| 95908 | <1% | 12 | $498.58 | |
| 98925 | <1% | 34 | $495.62 | |
| 93280 | <1% | 13 | $467.10 | |
| 72141 | <1% | 14 | $462.00 | |
| 70496 | <1% | 12 | $443.97 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 14 | $383.91 |
| 76937 | <1% | 49 | $367.94 | |
| 76801 | <1% | 15 | $366.81 | |
| 72050 | <1% | 46 | $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) | <1% | 140 | $359.76 |
| 71101 | <1% | 47 | $356.18 | |
| 99443 | <1% | 31 | $328.29 | |
| 93227 | <1% | 31 | $327.45 | |
| 73080 | <1% | 67 | $302.85 | |
| 93923 | <1% | 26 | $302.19 | |
| 71250 | <1% | 13 | $296.58 | |
| 72100 | <1% | 49 | $279.48 | |
| 90716 | <1% | 863 | $272.52 | |
| 73590 | <1% | 57 | $247.05 | |
| 93272 | <1% | 34 | $246.31 | |
| 70486 | <1% | 12 | $240.72 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 207 | $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 | <1% | 66 | $185.37 |
| 90473 | <1% | 16 | $160.16 | |
| 76536 | <1% | 13 | $158.50 | |
| 81025 | <1% | 24 | $147.23 | |
| 90734 | <1% | 275 | $128.85 | |
| 94726 | <1% | 18 | $112.62 | |
| 0296T | <1% | 25 | $108.42 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 24 | $101.05 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 13 | $91.80 |
| 94729 | <1% | 20 | $88.82 | |
| 81003 | <1% | 41 | $79.99 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 458 | $75.77 |
| 96160 | <1% | 94 | $55.68 | |
| 0298T | <1% | 12 | $42.11 | |
| 82962 | <1% | 151 | $23.65 | |
| 97802 | <1% | 13 | $10.00 | |
| 90723 | 0% | 1,816 | $0.00 | |
| 90647 | 0% | 1,722 | $0.00 | |
| 90696 | 0% | 97 | $0.00 | |
| 90680 | 0% | 76 | $0.00 | |
| 90688 | 0% | 327 | $0.00 | |
| 90681 | 0% | 674 | $0.00 | |
| 90633 | 0% | 1,067 | $0.00 | |
| 90707 | 0% | 929 | $0.00 | |
| 90700 | 0% | 99 | $0.00 | |
| 90672 | 0% | 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 | 0% | 53 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.