Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER CLARE

NPI: 1568414589 · CLARE, MI 48617 · General Acute Care Hospital · NPI assigned 05/17/2006

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

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

$17.66M
Total Medicaid Paid
814,342
Total Claims
716,391
Beneficiaries
293
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/17/2006

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,445 $1.84M
2019 88,675 $1.72M
2020 78,896 $1.53M
2021 94,410 $2.13M
2022 95,307 $2.28M
2023 185,227 $4.22M
2024 182,382 $3.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 16,424 15,484 $2.91M
99283 Emergency department visit for the evaluation and management, moderate severity 19,919 18,981 $2.35M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,487 6,978 $2.10M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,594 7,882 $874K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 27,643 8,559 $655K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,699 4,855 $617K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,516 7,288 $594K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,455 4,313 $583K
70450 Computed tomography, head or brain; without contrast material 4,399 4,248 $432K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,693 12,317 $344K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,340 3,662 $325K
96375 Therapeutic injection; each additional sequential IV push 8,423 7,459 $300K
96361 Intravenous infusion, hydration; each additional hour 8,909 7,099 $274K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,411 691 $261K
71046 Radiologic examination, chest; 2 views 7,225 6,995 $260K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,139 2,040 $250K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,039 1,034 $226K
80061 Lipid panel 18,580 18,452 $211K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,183 2,101 $204K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 12,635 4,683 $189K
80053 Comprehensive metabolic panel 54,369 49,276 $175K
36415 Collection of venous blood by venipuncture 75,494 66,393 $170K
84443 Thyroid stimulating hormone (TSH) 20,464 20,064 $162K
77067 Screening mammography, bilateral, including computer-aided detection 2,901 2,896 $146K
71045 Radiologic examination, chest; single view 3,854 3,676 $136K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,451 2,665 $136K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55,815 49,075 $127K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,810 7,767 $117K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,004 1,672 $114K
97162 2,053 2,034 $101K
97161 1,843 1,831 $92K
76830 Ultrasound, transvaginal 1,663 1,649 $91K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,474 1,591 $83K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,868 632 $81K
71275 Computed tomographic angiography, chest, with contrast material 926 893 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,296 1,274 $69K
83036 Hemoglobin; glycosylated (A1C) 13,312 13,238 $66K
86900 2,168 1,981 $65K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,310 1,306 $64K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,110 1,098 $61K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,244 3,184 $57K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,183 3,127 $54K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,887 3,688 $49K
71260 Computed tomography, thorax, diagnostic; with contrast material 595 585 $45K
95810 Polysomnography; sleep staging with 4 or more additional parameters 80 80 $44K
82607 5,289 5,244 $38K
94060 276 276 $36K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 3,344 3,333 $34K
82728 4,735 4,660 $33K
97597 363 186 $31K
84439 6,467 6,351 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 67 63 $28K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,306 10,416 $28K
77063 Screening digital breast tomosynthesis, bilateral 2,056 2,056 $27K
73564 1,504 1,442 $26K
71271 436 436 $26K
93971 488 480 $26K
86803 3,935 3,925 $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 1,583 1,571 $25K
G0378 Hospital observation service, per hour 683 412 $25K
80048 Basic metabolic panel (calcium, ionized) 6,686 6,078 $22K
73030 1,644 1,583 $22K
72100 882 882 $21K
87086 Culture, bacterial; quantitative colony count, urine 9,249 8,848 $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 4,253 3,816 $20K
82746 2,452 2,431 $18K
83550 4,087 4,037 $18K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,693 1,683 $18K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 915 914 $18K
72125 Computed tomography, cervical spine; without contrast material 1,610 1,572 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 36 36 $17K
71250 411 406 $17K
86481 315 314 $16K
73630 2,107 2,026 $16K
76536 360 359 $16K
85027 4,930 4,832 $16K
72131 402 399 $15K
73130 1,780 1,686 $15K
73610 1,560 1,473 $15K
73110 1,211 1,135 $15K
83540 4,366 4,305 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 25 25 $14K
83735 8,915 8,061 $13K
97533 497 197 $13K
87081 8,657 8,375 $12K
87186 3,850 3,682 $11K
76642 307 303 $11K
82043 3,735 3,704 $11K
83970 498 495 $11K
84702 1,869 1,278 $11K
83880 3,125 2,954 $11K
80076 2,492 2,338 $10K
87088 3,342 3,233 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 105 105 $10K
97116 694 340 $9K
87340 2,324 2,313 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination 853 837 $9K
86140 5,576 4,986 $9K
81001 20,147 18,736 $9K
87808 1,400 1,376 $9K
80306 3,107 2,937 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,820 5,280 $8K
76801 180 170 $8K
87077 3,090 2,962 $8K
87070 2,024 1,986 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 659 645 $8K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 186 159 $8K
76770 168 167 $8K
87522 Neg quan hep c or qual rna 298 295 $7K
93798 97 14 $7K
84403 481 463 $7K
86038 1,129 1,122 $7K
96367 207 195 $7K
85610 9,920 8,380 $7K
86706 1,063 1,060 $6K
73502 397 390 $6K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 249 243 $6K
76857 94 91 $5K
82570 2,040 2,014 $5K
86592 2,133 2,119 $5K
93017 150 150 $5K
84146 520 504 $5K
73562 274 273 $5K
80074 213 213 $5K
J7030 Infusion, normal saline solution , 1000 cc 8,819 6,913 $5K
86704 746 743 $5K
86708 666 664 $4K
82784 516 484 $4K
84481 483 469 $4K
82951 578 527 $4K
85652 3,932 3,774 $4K
72110 156 155 $4K
74018 264 260 $4K
83001 350 349 $4K
87075 1,570 1,489 $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 165 164 $3K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 59 57 $3K
83690 7,476 6,869 $3K
97035 564 268 $3K
82670 200 199 $3K
73080 242 236 $3K
85730 3,793 3,534 $3K
70496 171 168 $3K
70491 30 30 $3K
84153 251 251 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 128 121 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 52 41 $2K
93225 49 49 $2K
82947 163 163 $2K
82550 1,056 900 $2K
70486 68 68 $2K
77080 39 39 $2K
97163 40 40 $2K
74019 123 123 $2K
84402 139 138 $2K
86431 663 662 $2K
82565 662 633 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,050 4,866 $2K
83516 260 245 $2K
73221 12 12 $2K
84100 833 681 $2K
81025 6,358 6,038 $1K
87276 7,338 7,148 $1K
84550 663 654 $1K
73140 78 74 $1K
83721 244 244 $1K
87430 6,840 6,709 $1K
82105 138 135 $1K
86703 178 177 $1K
87275 7,338 7,148 $1K
73590 144 134 $1K
85576 73 73 $1K
74022 873 854 $1K
72040 52 52 $1K
85379 2,540 2,482 $1K
84703 1,926 1,873 $1K
86200 215 215 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 92 92 $1K
83002 96 96 $1K
82248 387 317 $972.62
72050 25 25 $915.11
84480 149 145 $898.11
80069 192 185 $880.28
81373 28 27 $842.71
87427 119 94 $826.88
77066 Tomosynthesis, mammo 13 13 $817.53
84156 430 419 $804.49
87807 1,721 1,685 $798.98
88304 146 144 $793.32
83655 119 119 $777.78
84460 255 247 $652.24
86003 12 12 $618.82
84145 884 845 $557.00
83605 6,351 5,711 $539.83
84450 218 210 $534.83
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $528.16
83993 50 50 $513.62
73090 88 86 $501.52
83615 199 189 $484.34
86376 59 59 $475.45
84165 87 81 $466.68
87040 2,221 1,856 $447.87
80164 81 77 $422.69
84484 8,165 6,896 $401.91
86480 12 12 $388.18
76870 25 24 $369.75
85046 123 119 $356.99
87046 94 94 $345.22
87045 94 94 $342.15
86318 58 57 $311.21
86762 428 427 $271.71
82533 27 25 $229.92
70498 168 166 $198.94
87220 178 177 $185.15
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 15 15 $179.16
96376 2,471 2,009 $150.63
82140 56 52 $141.76
87209 14 14 $133.84
84155 72 68 $130.89
85018 114 114 $128.52
73552 12 12 $122.33
86800 13 13 $104.80
86308 142 138 $84.16
86850 1,763 1,606 $74.90
71101 13 13 $68.59
82310 30 30 $67.25
82962 4,123 2,938 $63.87
87324 17 17 $61.76
87449 17 17 $61.76
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 196 128 $56.70
85014 52 52 $51.86
87177 14 14 $43.83
82803 312 279 $43.36
80178 15 12 $42.54
82150 12 12 $41.59
82040 17 17 $40.70
82010 165 144 $40.47
80051 12 12 $36.56
85651 14 12 $32.54
84520 15 15 $27.72
87205 40 40 $15.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,204 1,819 $11.70
J2765 Injection, metoclopramide hcl, up to 10 mg 883 827 $6.66
J1885 Injection, ketorolac tromethamine, per 15 mg 5,969 5,516 $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 1,370 1,271 $3.00
J2270 Injection, morphine sulfate, up to 10 mg 3,990 3,256 $2.46
A9270 Non-covered item or service 1,358 1,101 $0.31
J0696 Injection, ceftriaxone sodium, per 250 mg 2,377 1,955 $0.15
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,160 1,872 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,767 1,517 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,843 1,734 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,113 6,839 $0.00
94729 331 331 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 781 727 $0.00
90715 578 575 $0.00
93226 49 49 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 240 224 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 136 111 $0.00
J1644 Injection, heparin sodium, per 1000 units 27 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 41 39 $0.00
94726 199 199 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 303 285 $0.00
C9113 Injection, pantoprazole sodium, per vial 182 155 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 13 12 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 158 123 $0.00
J1171 Injection, hydromorphone, 0.1 mg 74 56 $0.00
94664 16 13 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 14 13 $0.00
12011 14 14 $0.00
29125 12 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,843 2,755 $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) 265 180 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,609 1,948 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,659 1,582 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,656 1,134 $0.00
J2704 Injection, propofol, 10 mg 814 780 $0.00
12001 210 209 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 353 341 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 432 124 $0.00
J0690 Injection, cefazolin sodium, 500 mg 755 687 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 234 210 $0.00
J3480 Injection, potassium chloride, per 2 meq 102 68 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,044 1,012 $0.00
86901 2,166 1,979 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,488 1,420 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 36 25 $0.00
J2060 Injection, lorazepam, 2 mg 485 378 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 37 36 $0.00
J1815 Injection, insulin, per 5 units 13 12 $0.00
96368 70 66 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 58 58 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 12 12 $0.00
J3360 Injection, diazepam, up to 5 mg 13 12 $0.00