Clinic
Mymichigan Medical Center Gladwin
Mymichigan Medical Center Gladwin was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER GLADWIN
WEST BRANCH, MI 48661
WEST BRANCH, MI 48661
33aNPI1558790162assigned 11/04/2013
33bProvider typeRural Health Clinic/Center
28Total paid$2.69M
24GClaims97,311
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#19 of 193
Median peer was paid$426K
This provider vs. median6.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 17,077 | $525K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 59% | 38,852 | 35,428 | $1.60M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 17,423 | 16,561 | $381K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 10,519 | 10,054 | $307K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 2,554 | 2,536 | $68K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 7,620 | 7,480 | $55K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 5,747 | 3,110 | $45K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 1,893 | 1,868 | $44K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 988 | 936 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 445 | 445 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 428 | 428 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 672 | 639 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,014 | 1,008 | $15K |
36 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 424 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,845 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 659 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 376 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 348 | $7K |
| 90686 | <1% | 458 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 158 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 412 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 64 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 186 | $3K |
| 81002 | <1% | 1,485 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 549 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 209 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 29 | $1K |
| 90474 | <1% | 232 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 193 | $1K |
| 81025 | <1% | 234 | $800.54 | |
| 0011A | <1% | 18 | $698.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 141 | $610.66 |
| 90656 | <1% | 32 | $539.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 193 | $471.36 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $395.45 |
| 93000 | <1% | 55 | $262.06 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 27 | $248.51 |
| 87420 | <1% | 40 | $225.25 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 12 | $122.56 |
| 96161 | <1% | 176 | $83.44 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 30 | $56.85 |
| 92551 | <1% | 25 | $52.30 | |
| 99174 | <1% | 14 | $15.32 | |
| 90680 | 0% | 90 | $0.00 | |
| 90723 | 0% | 149 | $0.00 | |
| 90647 | 0% | 117 | $0.00 | |
| 99173 | 0% | 51 | $0.00 | |
| 90670 | 0% | 99 | $0.00 | |
| 90633 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.