Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Clare › NPI 1568414589
Hospital

Mymichigan Medical Center Clare

Mymichigan Medical Center Clare was paid $17.66M by Medicaid between Jan 2018 and Dec 2024, across 293 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.

33Billing provider infoMYMICHIGAN MEDICAL CENTER CLARE
CLARE, MI 48617
33aNPI1568414589assigned 05/17/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$17.66M
24GClaims814,342
24DCodes billed293
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#50 of 86
Median peer was paid$21.55M
This provider vs. median0.8×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201889,445$1.84M
201988,675$1.72M
202078,896$1.53M
202194,410$2.13M
202295,307$2.28M
2023185,227$4.22M
2024incomplete182,382$3.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 16,424 15,484 $2.91M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 19,919 18,981 $2.35M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 7,487 6,978 $2.10M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.9% 8,594 7,882 $874K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.7% 27,643 8,559 $655K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.5% 6,699 4,855 $617K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.4% 7,516 7,288 $594K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 4,455 4,313 $583K
70450 Computed tomography, head or brain; without contrast material 2.4% 4,399 4,248 $432K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 12,693 12,317 $344K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.8% 5,340 3,662 $325K
96375 Therapeutic injection; each additional sequential IV push 1.7% 8,423 7,459 $300K
281 more codes
96361 Intravenous infusion, hydration; each additional hour 1.6% 8,909 $274K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.5% 1,411 $261K
71046 Radiologic examination, chest; 2 views 1.5% 7,225 $260K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.4% 3,139 $250K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 1,039 $226K
80061 Lipid panel 1.2% 18,580 $211K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 2,183 $204K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.1% 12,635 $189K
80053 Comprehensive metabolic panel <1% 54,369 $175K
36415 Collection of venous blood by venipuncture <1% 75,494 $170K
84443 Thyroid stimulating hormone (TSH) <1% 20,464 $162K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,901 $146K
71045 Radiologic examination, chest; single view <1% 3,854 $136K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 6,451 $136K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 55,815 $127K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 7,810 $117K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,004 $114K
97162 <1% 2,053 $101K
97161 <1% 1,843 $92K
76830 Ultrasound, transvaginal <1% 1,663 $91K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,474 $83K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,868 $81K
71275 Computed tomographic angiography, chest, with contrast material <1% 926 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,296 $69K
83036 Hemoglobin; glycosylated (A1C) <1% 13,312 $66K
86900 <1% 2,168 $65K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,310 $64K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,110 $61K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,244 $57K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,183 $54K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,887 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 595 $45K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 80 $44K
82607 <1% 5,289 $38K
94060 <1% 276 $36K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 3,344 $34K
82728 <1% 4,735 $33K
97597 <1% 363 $31K
84439 <1% 6,467 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 67 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,306 $28K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,056 $27K
73564 <1% 1,504 $26K
71271 <1% 436 $26K
93971 <1% 488 $26K
86803 <1% 3,935 $26K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,583 $25K
G0378 Hospital observation service, per hour <1% 683 $25K
80048 Basic metabolic panel (calcium, ionized) <1% 6,686 $22K
73030 <1% 1,644 $22K
72100 <1% 882 $21K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,249 $21K
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 <1% 4,253 $20K
82746 <1% 2,452 $18K
83550 <1% 4,087 $18K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 1,693 $18K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 915 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 1,610 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 36 $17K
71250 <1% 411 $17K
86481 <1% 315 $16K
73630 <1% 2,107 $16K
76536 <1% 360 $16K
85027 <1% 4,930 $16K
72131 <1% 402 $15K
73130 <1% 1,780 $15K
73610 <1% 1,560 $15K
73110 <1% 1,211 $15K
83540 <1% 4,366 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 25 $14K
83735 <1% 8,915 $13K
97533 <1% 497 $13K
87081 <1% 8,657 $12K
87186 <1% 3,850 $11K
76642 <1% 307 $11K
82043 <1% 3,735 $11K
83970 <1% 498 $11K
84702 <1% 1,869 $11K
83880 <1% 3,125 $11K
80076 <1% 2,492 $10K
87088 <1% 3,342 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 105 $10K
97116 <1% 694 $9K
87340 <1% 2,324 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 853 $9K
86140 <1% 5,576 $9K
81001 <1% 20,147 $9K
87808 <1% 1,400 $9K
80306 <1% 3,107 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,820 $8K
76801 <1% 180 $8K
87077 <1% 3,090 $8K
87070 <1% 2,024 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 659 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 186 $8K
76770 <1% 168 $8K
87522 Neg quan hep c or qual rna <1% 298 $7K
93798 <1% 97 $7K
84403 <1% 481 $7K
86038 <1% 1,129 $7K
96367 <1% 207 $7K
85610 <1% 9,920 $7K
86706 <1% 1,063 $6K
73502 <1% 397 $6K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 249 $6K
76857 <1% 94 $5K
82570 <1% 2,040 $5K
86592 <1% 2,133 $5K
93017 <1% 150 $5K
84146 <1% 520 $5K
73562 <1% 274 $5K
80074 <1% 213 $5K
J7030 Infusion, normal saline solution , 1000 cc <1% 8,819 $5K
86704 <1% 746 $5K
86708 <1% 666 $4K
82784 <1% 516 $4K
84481 <1% 483 $4K
82951 <1% 578 $4K
85652 <1% 3,932 $4K
72110 <1% 156 $4K
74018 <1% 264 $4K
83001 <1% 350 $4K
87075 <1% 1,570 $3K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 165 $3K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 59 $3K
83690 <1% 7,476 $3K
97035 <1% 564 $3K
82670 <1% 200 $3K
73080 <1% 242 $3K
85730 <1% 3,793 $3K
70496 <1% 171 $3K
70491 <1% 30 $3K
84153 <1% 251 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 128 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 52 $2K
93225 <1% 49 $2K
82947 <1% 163 $2K
82550 <1% 1,056 $2K
70486 <1% 68 $2K
77080 <1% 39 $2K
97163 <1% 40 $2K
74019 <1% 123 $2K
84402 <1% 139 $2K
86431 <1% 663 $2K
82565 <1% 662 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,050 $2K
83516 <1% 260 $2K
73221 <1% 12 $2K
84100 <1% 833 $2K
81025 <1% 6,358 $1K
87276 <1% 7,338 $1K
84550 <1% 663 $1K
73140 <1% 78 $1K
83721 <1% 244 $1K
87430 <1% 6,840 $1K
82105 <1% 138 $1K
86703 <1% 178 $1K
87275 <1% 7,338 $1K
73590 <1% 144 $1K
85576 <1% 73 $1K
74022 <1% 873 $1K
72040 <1% 52 $1K
85379 <1% 2,540 $1K
84703 <1% 1,926 $1K
86200 <1% 215 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 92 $1K
83002 <1% 96 $1K
82248 <1% 387 $972.62
72050 <1% 25 $915.11
84480 <1% 149 $898.11
80069 <1% 192 $880.28
81373 <1% 28 $842.71
87427 <1% 119 $826.88
77066 Tomosynthesis, mammo <1% 13 $817.53
84156 <1% 430 $804.49
87807 <1% 1,721 $798.98
88304 <1% 146 $793.32
83655 <1% 119 $777.78
84460 <1% 255 $652.24
86003 <1% 12 $618.82
84145 <1% 884 $557.00
83605 <1% 6,351 $539.83
84450 <1% 218 $534.83
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 12 $528.16
83993 <1% 50 $513.62
73090 <1% 88 $501.52
83615 <1% 199 $484.34
86376 <1% 59 $475.45
84165 <1% 87 $466.68
87040 <1% 2,221 $447.87
80164 <1% 81 $422.69
84484 <1% 8,165 $401.91
86480 <1% 12 $388.18
76870 <1% 25 $369.75
85046 <1% 123 $356.99
87046 <1% 94 $345.22
87045 <1% 94 $342.15
86318 <1% 58 $311.21
86762 <1% 428 $271.71
82533 <1% 27 $229.92
70498 <1% 168 $198.94
87220 <1% 178 $185.15
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 15 $179.16
96376 <1% 2,471 $150.63
82140 <1% 56 $141.76
87209 <1% 14 $133.84
84155 <1% 72 $130.89
85018 <1% 114 $128.52
73552 <1% 12 $122.33
86800 <1% 13 $104.80
86308 <1% 142 $84.16
86850 <1% 1,763 $74.90
71101 <1% 13 $68.59
82310 <1% 30 $67.25
82962 <1% 4,123 $63.87
87324 <1% 17 $61.76
87449 <1% 17 $61.76
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 196 $56.70
85014 <1% 52 $51.86
87177 <1% 14 $43.83
82803 <1% 312 $43.36
80178 <1% 15 $42.54
82150 <1% 12 $41.59
82040 <1% 17 $40.70
82010 <1% 165 $40.47
80051 <1% 12 $36.56
85651 <1% 14 $32.54
84520 <1% 15 $27.72
87205 <1% 40 $15.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,204 $11.70
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 883 $6.66
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,969 $3.09
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 <1% 1,370 $3.00
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,990 $2.46
A9270 Non-covered item or service <1% 1,358 $0.31
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,377 $0.15
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 2,160 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 1,767 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 1,843 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 8,113 $0.00
94729 0% 331 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 781 $0.00
90715 0% 578 $0.00
93226 0% 49 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 240 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 136 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 27 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 41 $0.00
94726 0% 199 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 303 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 182 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 158 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 74 $0.00
94664 0% 16 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 14 $0.00
12011 0% 14 $0.00
29125 0% 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 2,843 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 0% 265 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,609 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,659 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 1,656 $0.00
J2704 Injection, propofol, 10 mg 0% 814 $0.00
12001 0% 210 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 353 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 432 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 755 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 234 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 102 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 1,044 $0.00
86901 0% 2,166 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,488 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 36 $0.00
J2060 Injection, lorazepam, 2 mg 0% 485 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 37 $0.00
J1815 Injection, insulin, per 5 units 0% 13 $0.00
96368 0% 70 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 58 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 12 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 13 $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)
Same official

Other billing entities under JAMES, SARAH

Full network →
ProviderLocationPaid
Mymichigan Medical Center MidlandMidland, MI$50.05M
Mymichigan Medical Center SaginawSaginaw, MI$38.70M
Mymichigan Medical Center AlmaAlma, MI$25.31M
Mymichigan Medical Center MidlandMidland, MI$24.37M
Mymichigan Medical Center AlpenaAlpena, MI$21.24M
Mymichigan Medical Center SaultSault Sainte Marie, MI$13.47M
Mymichigan Medical Center GladwinGladwin, MI$10.43M
Mymichigan Medical Center TawasTawas City, MI$9.11M
Mymichigan Medical GroupMidland, MI$8.12M
Mymichigan Medical Center StandishStandish, MI$7.15M
Mymichigan Medical GroupMidland, MI$5.09M
Mymichigan Medical Center SaultSault Sainte Marie, MI$3.78M
Mymichigan Medical Center AlpenaAlpena, MI$2.89M
Mymichigan Medical Center MidlandMidland, MI$2.15M
Mymichigan Medical GroupMidland, MI$2.08M
Mymichigan Medical GroupMidland, MI$1.97M
Mymichigan Medical Center SaultSault Sainte Marie, MI$1.62M
Mymichigan Medical Center SaginawVassar, MI$1.09M
Mymichigan Medical Center StandishStandish, MI$967K
Mymichigan Medical Center SaginawSaginaw, MI$941K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.