Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAGINAW

NPI: 1518042530 · SAGINAW, MI 48603 · Family Medicine Physician · NPI assigned 10/26/2006

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

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

$941K
Total Medicaid Paid
28,621
Total Claims
26,994
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date10/26/2006

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 2,662 $91K
2019 2,736 $99K
2020 3,035 $112K
2021 3,618 $154K
2022 3,052 $162K
2023 4,693 $180K
2024 8,825 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,297 10,409 $629K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,283 2,207 $189K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,477 1,364 $44K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 280 279 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 207 207 $18K
90686 612 605 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 721 710 $7K
81002 1,529 1,493 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 41 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 201 196 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 16 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 86 78 $1K
99406 189 185 $1K
81003 690 675 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $789.96
99201 12 12 $340.52
90472 Immunization administration, each additional vaccine (list separately) 18 17 $196.00
90688 13 12 $178.40
1160F 705 676 $0.00
3078F 874 844 $0.00
3077F 573 556 $0.00
98966 16 16 $0.00
1159F 716 682 $0.00
90461 13 13 $0.00
3074F 1,122 1,080 $0.00
3075F 256 249 $0.00
3008F 1,362 1,288 $0.00
3079F 839 822 $0.00
3080F 272 262 $0.00
1036F 1,609 1,442 $0.00
1034F 462 428 $0.00
1126F 15 15 $0.00
1125F 35 35 $0.00