Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER WEST BRANCH

NPI: 1538566765 · WEST BRANCH, MI 48661 · General Acute Care Hospital · NPI assigned 12/03/2014

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

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

$10.33M
Total Medicaid Paid
347,737
Total Claims
308,990
Beneficiaries
207
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date12/03/2014

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 36,365 $1.28M
2019 41,956 $1.22M
2020 39,994 $1.10M
2021 53,919 $1.57M
2022 61,614 $1.81M
2023 62,386 $1.82M
2024 51,503 $1.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 11,024 10,310 $1.99M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,157 5,733 $1.87M
99283 Emergency department visit for the evaluation and management, moderate severity 10,481 10,035 $1.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,889 7,289 $739K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,718 3,577 $484K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,093 8,033 $443K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,558 3,014 $285K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,148 4,048 $277K
70450 Computed tomography, head or brain; without contrast material 3,168 3,041 $272K
96375 Therapeutic injection; each additional sequential IV push 7,082 6,233 $199K
96361 Intravenous infusion, hydration; each additional hour 5,845 5,012 $192K
80061 Lipid panel 2,824 2,795 $163K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,565 1,515 $154K
71045 Radiologic examination, chest; single view 4,154 3,910 $144K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,414 1,361 $141K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 969 475 $138K
71046 Radiologic examination, chest; 2 views 3,944 3,762 $136K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,393 5,167 $121K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 536 528 $97K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 853 841 $90K
71275 Computed tomographic angiography, chest, with contrast material 912 867 $83K
77067 Screening mammography, bilateral, including computer-aided detection 1,707 1,702 $82K
64493 126 115 $80K
59025 Fetal non-stress test 784 392 $78K
97597 986 575 $76K
G0378 Hospital observation service, per hour 1,268 844 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited 955 920 $53K
72125 Computed tomography, cervical spine; without contrast material 1,136 1,107 $45K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,969 566 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,121 806 $34K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 75 69 $33K
71260 Computed tomography, thorax, diagnostic; with contrast material 364 349 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 536 521 $29K
94060 222 217 $28K
76830 Ultrasound, transvaginal 476 464 $27K
64635 27 25 $26K
99281 Emergency department visit for the evaluation and management, self-limited or minor 559 552 $22K
86900 1,951 1,854 $21K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,221 425 $21K
80053 Comprehensive metabolic panel 21,042 18,443 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,492 7,670 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,151 21,348 $15K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 40 40 $14K
72141 91 90 $14K
84443 Thyroid stimulating hormone (TSH) 4,843 4,618 $13K
36415 Collection of venous blood by venipuncture 23,498 20,413 $12K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28 28 $12K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 66 66 $12K
77063 Screening digital breast tomosynthesis, bilateral 890 890 $11K
71271 195 195 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 465 154 $9K
76801 154 139 $9K
45384 31 25 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 876 863 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,744 4,167 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,162 2,054 $7K
93971 127 125 $7K
J7030 Infusion, normal saline solution , 1000 cc 5,066 4,307 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $6K
73564 422 384 $5K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 828 821 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination 656 512 $5K
93970 55 50 $5K
72131 105 103 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 89 89 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,719 3,523 $5K
93017 256 242 $5K
73630 732 697 $4K
83036 Hemoglobin; glycosylated (A1C) 1,686 1,665 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 834 810 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 839 815 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 212 203 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 357 352 $4K
72110 129 127 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 25 25 $3K
73030 497 467 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 216 78 $3K
80048 Basic metabolic panel (calcium, ionized) 4,473 3,870 $2K
84439 953 931 $2K
84702 660 477 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,583 2,320 $2K
86803 572 563 $2K
83880 1,706 1,577 $2K
73610 367 345 $2K
73130 427 385 $2K
70496 37 37 $2K
87086 Culture, bacterial; quantitative colony count, urine 2,198 2,098 $1K
87070 1,398 1,329 $1K
86140 3,694 3,430 $1K
71250 24 24 $1K
81025 4,956 4,683 $1K
76536 31 27 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30 27 $1K
81001 12,545 11,496 $1K
97162 26 25 $1K
72100 70 55 $1K
83735 5,019 4,163 $1K
87081 389 385 $896.77
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,400 2,342 $877.78
85610 4,037 3,399 $861.00
87634 887 862 $855.98
80306 1,286 1,205 $786.67
94726 165 164 $748.43
87808 168 160 $671.04
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $650.50
73110 88 84 $617.12
76642 12 12 $533.28
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,886 1,859 $449.45
85027 437 401 $447.68
82728 190 188 $443.60
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 12 $395.08
85652 1,350 1,276 $374.36
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 27 27 $373.80
85730 2,003 1,852 $364.78
87186 588 543 $364.14
80076 1,191 1,110 $363.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,339 2,179 $362.94
86592 204 201 $351.27
82607 105 105 $338.32
96367 22 20 $325.82
74018 38 38 $320.09
83690 5,148 4,732 $287.63
87077 399 371 $264.58
87340 242 239 $251.16
83540 174 173 $245.36
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 12 $242.32
83550 120 120 $211.32
87276 1,148 1,114 $183.54
85379 1,742 1,663 $167.94
82570 115 109 $152.09
87275 1,148 1,114 $142.88
87088 203 189 $131.33
85651 200 181 $129.56
86850 1,744 1,662 $128.82
97802 13 13 $125.00
84145 985 920 $121.73
87653 12 12 $115.14
82962 3,421 2,369 $109.28
82951 20 17 $107.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,806 1,766 $100.99
70498 38 38 $100.63
84703 1,125 1,102 $98.57
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 140 140 $88.22
84484 5,679 4,811 $87.84
86901 1,950 1,853 $77.28
83605 5,132 4,571 $76.59
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,301 984 $74.44
94729 254 244 $64.76
81002 64 61 $60.13
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 67 58 $59.64
84100 139 103 $51.40
82150 196 184 $48.84
87040 1,559 1,271 $47.74
82565 54 48 $43.37
88342 15 14 $25.16
87075 80 78 $16.19
82950 12 12 $13.25
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 200 196 $11.79
J3010 Injection, fentanyl citrate, 0.1 mg 1,473 1,305 $6.86
J1885 Injection, ketorolac tromethamine, per 15 mg 4,549 3,996 $3.88
J2250 Injection, midazolam hydrochloride, per 1 mg 1,090 1,031 $3.70
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,608 4,543 $2.26
84520 12 12 $2.23
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 25 15 $0.01
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 23 14 $0.01
J2270 Injection, morphine sulfate, up to 10 mg 1,669 1,256 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 486 449 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,041 926 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 838 747 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 181 150 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 347 305 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 249 218 $0.00
90715 300 300 $0.00
J1171 Injection, hydromorphone, 0.1 mg 57 37 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 80 69 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 331 321 $0.00
64636 27 25 $0.00
C9113 Injection, pantoprazole sodium, per vial 107 77 $0.00
J3370 Injection, vancomycin hcl, 500 mg 90 55 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 26 26 $0.00
82800 13 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 27 27 $0.00
64495 17 14 $0.00
J2704 Injection, propofol, 10 mg 805 791 $0.00
A9270 Non-covered item or service 608 456 $0.00
J1741 Injection, ibuprofen, 100 mg 42 41 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,193 1,008 $0.00
J2060 Injection, lorazepam, 2 mg 184 145 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 327 317 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,023 772 $0.00
96376 2,166 1,618 $0.00
J0690 Injection, cefazolin sodium, 500 mg 612 361 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 201 194 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,759 1,930 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 232 221 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 83 78 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 269 214 $0.00
64494 125 114 $0.00
82803 77 68 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 19 19 $0.00
J2785 Injection, regadenoson, 0.1 mg 43 39 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 43 40 $0.00
94750 48 39 $0.00
88304 12 12 $0.00
82810 15 14 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 42 40 $0.00
96368 26 26 $0.00