Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER GLADWIN

NPI: 1558790162 · WEST BRANCH, MI 48661 · Rural Health Clinic/Center · NPI assigned 11/04/2013

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

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

$2.69M
Total Medicaid Paid
97,311
Total Claims
89,447
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date11/04/2013

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 11,087 $301K
2019 12,767 $319K
2020 10,170 $249K
2021 12,819 $354K
2022 14,830 $411K
2023 18,561 $530K
2024 17,077 $525K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 38,852 35,428 $1.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,423 16,561 $381K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,519 10,054 $307K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,554 2,536 $68K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,620 7,480 $55K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,747 3,110 $45K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,893 1,868 $44K
99215 Prolong outpt/office vis 988 936 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 445 445 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 428 428 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 672 639 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,014 1,008 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 424 418 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,845 1,825 $13K
90472 Immunization administration, each additional vaccine (list separately) 659 655 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 376 372 $8K
90837 Psychotherapy, 53 minutes with patient 348 275 $7K
90686 458 456 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 158 158 $4K
71046 Radiologic examination, chest; 2 views 412 408 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 64 64 $3K
90834 Psychotherapy, 45 minutes with patient 186 159 $3K
81002 1,485 1,466 $2K
83036 Hemoglobin; glycosylated (A1C) 549 549 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 209 204 $2K
99205 Prolong outpt/office vis 29 28 $1K
90474 232 232 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 193 188 $1K
81025 234 233 $800.54
0011A 18 18 $698.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 141 136 $610.66
90656 32 32 $539.80
36415 Collection of venous blood by venipuncture 193 182 $471.36
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $395.45
93000 55 55 $262.06
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 27 27 $248.51
87420 40 39 $225.25
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $122.56
96161 176 164 $83.44
96110 Developmental screening, with scoring and documentation, per standardized instrument 30 28 $56.85
92551 25 25 $52.30
99174 14 14 $15.32
90680 90 90 $0.00
90723 149 149 $0.00
90647 117 117 $0.00
99173 51 51 $0.00
90670 99 99 $0.00
90633 14 14 $0.00