Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER WEST BRANCH

NPI: 1518418292 · WEST BRANCH, MI 48661 · Cardiovascular Disease Physician · NPI assigned 10/18/2016

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

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

$747K
Total Medicaid Paid
18,247
Total Claims
16,429
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date10/18/2016

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 608 $19K
2019 380 $14K
2020 1,036 $38K
2021 3,270 $137K
2022 4,847 $215K
2023 4,516 $179K
2024 3,590 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,960 3,790 $226K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,779 4,426 $181K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,624 1,608 $120K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,781 1,766 $85K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 407 376 $25K
97597 1,118 640 $18K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 577 359 $17K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 404 404 $14K
99215 Prolong outpt/office vis 117 104 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 609 515 $12K
59025 Fetal non-stress test 499 257 $9K
90472 Immunization administration, each additional vaccine (list separately) 177 177 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 959 872 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 42 42 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 240 234 $3K
0012A 80 80 $3K
0011A 89 89 $2K
99205 Prolong outpt/office vis 12 12 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 39 $1K
90474 82 82 $895.42
99238 Hospital discharge day management, 30 minutes or less 17 15 $752.20
93971 55 53 $663.86
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 52 52 $552.52
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $539.00
93018 28 28 $225.31
96161 63 61 $93.86
94726 12 12 $74.60
94729 13 13 $60.94
0502F 196 107 $0.00
90670 59 59 $0.00
90723 43 43 $0.00
90647 25 25 $0.00
91301 62 62 $0.00
90680 15 15 $0.00