Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1538301668 · ITHACA, MI 48847 · Rural Health Clinic/Center · NPI assigned 04/06/2009

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

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

$975K
Total Medicaid Paid
34,580
Total Claims
30,331
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER ALMA
NPI Enumeration Date04/06/2009

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 4,114 $106K
2019 5,330 $134K
2020 5,203 $126K
2021 5,427 $145K
2022 4,892 $147K
2023 4,758 $151K
2024 4,856 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,049 14,288 $404K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,542 7,659 $355K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,684 4,280 $148K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,644 1,631 $13K
90686 680 679 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 877 829 $10K
99215 Prolong outpt/office vis 148 140 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 154 151 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 41 $3K
90472 Immunization administration, each additional vaccine (list separately) 166 166 $2K
99442 50 47 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 225 113 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 74 70 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $2K
90632 24 24 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 36 36 $951.79
90707 15 15 $751.45
0011A 14 14 $529.90
90715 14 14 $358.87
90656 17 17 $314.05
99443 15 14 $311.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $111.72
81002 32 31 $77.76
36415 Collection of venous blood by venipuncture 13 12 $35.10
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) 36 30 $0.00