Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALPENA

NPI: 1619914652 · ALPENA, MI 49707 · Rural Acute Care Hospital · NPI assigned 05/31/2006

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

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

$21.24M
Total Medicaid Paid
759,989
Total Claims
619,067
Beneficiaries
334
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN HEALTH
NPI Enumeration Date05/31/2006

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 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
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80,924 $2.22M
2019 100,288 $2.45M
2020 83,699 $2.23M
2021 106,324 $3.09M
2022 131,103 $3.65M
2023 139,971 $4.14M
2024 117,680 $3.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 13,742 12,640 $2.55M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,670 6,122 $2.19M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 38,034 32,785 $1.87M
99283 Emergency department visit for the evaluation and management, moderate severity 13,881 13,122 $1.59M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,891 7,938 $829K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 9,788 6,819 $815K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 34,251 10,885 $805K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,766 2,607 $630K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,270 4,096 $567K
J9271 Injection, pembrolizumab, 1 mg 87 67 $544K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 26,356 8,699 $478K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,632 6,405 $444K
96375 Therapeutic injection; each additional sequential IV push 11,500 8,911 $341K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,537 1,520 $322K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,474 11,792 $310K
70450 Computed tomography, head or brain; without contrast material 3,078 2,956 $299K
71046 Radiologic examination, chest; 2 views 8,239 7,818 $292K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,142 2,363 $278K
96361 Intravenous infusion, hydration; each additional hour 8,528 6,917 $249K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 325 285 $217K
90834 Psychotherapy, 45 minutes with patient 2,975 2,181 $208K
94060 1,615 1,591 $201K
77067 Screening mammography, bilateral, including computer-aided detection 4,001 3,973 $190K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 887 876 $174K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,629 1,569 $169K
71045 Radiologic examination, chest; single view 4,517 4,270 $163K
95810 Polysomnography; sleep staging with 4 or more additional parameters 365 357 $157K
59025 Fetal non-stress test 1,698 1,094 $151K
97161 2,992 2,932 $148K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,689 2,298 $135K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,218 2,182 $124K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,672 3,230 $120K
G0378 Hospital observation service, per hour 1,824 1,046 $120K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 372 367 $120K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 640 308 $112K
80061 Lipid panel 6,013 5,955 $110K
76830 Ultrasound, transvaginal 1,918 1,896 $109K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,059 2,031 $106K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 989 984 $105K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,548 914 $103K
96367 3,126 1,757 $103K
71260 Computed tomography, thorax, diagnostic; with contrast material 894 873 $103K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,370 13,247 $95K
71275 Computed tomographic angiography, chest, with contrast material 995 965 $89K
97162 1,646 1,613 $88K
71250 1,755 1,724 $88K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 767 766 $86K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 183 180 $86K
90832 Psychotherapy, 30 minutes with patient 1,095 886 $81K
36591 2,546 1,627 $73K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 161 153 $65K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,270 1,518 $64K
72110 1,624 1,609 $60K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,290 1,180 $59K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,327 1,289 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,490 6,282 $45K
76801 787 707 $45K
96417 1,218 774 $44K
76642 1,088 1,056 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,767 2,619 $40K
80053 Comprehensive metabolic panel 34,580 29,103 $39K
90791 Psychiatric diagnostic evaluation 528 519 $39K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 347 338 $39K
73030 1,911 1,870 $39K
73564 1,189 1,091 $37K
96415 928 581 $36K
84443 Thyroid stimulating hormone (TSH) 10,207 9,744 $35K
73630 2,267 2,178 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 40,210 32,510 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,608 2,568 $33K
76536 722 717 $33K
97035 6,249 2,441 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,556 2,519 $32K
94726 1,730 1,704 $32K
77063 Screening digital breast tomosynthesis, bilateral 2,492 2,490 $31K
86900 2,889 2,668 $30K
73130 1,821 1,729 $28K
73610 1,858 1,763 $28K
93971 496 479 $27K
90472 Immunization administration, each additional vaccine (list separately) 870 864 $27K
97163 391 389 $21K
95811 56 52 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,622 2,579 $21K
74018 998 956 $19K
72100 543 539 $19K
72141 129 128 $19K
73110 1,185 1,116 $19K
97014 2,380 1,030 $18K
73502 875 859 $16K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 1,539 1,532 $15K
45380 Colonoscopy, flexible; with biopsy, single or multiple 29 29 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 252 250 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,916 2,823 $15K
97165 300 297 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,549 1,351 $14K
77065 Tomosynthesis, mammo 315 306 $13K
83036 Hemoglobin; glycosylated (A1C) 4,552 4,497 $13K
72125 Computed tomography, cervical spine; without contrast material 1,118 1,084 $12K
82728 2,859 2,723 $12K
36415 Collection of venous blood by venipuncture 37,608 31,776 $12K
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 739 712 $11K
71271 188 188 $11K
Q3014 Telehealth originating site facility fee 855 802 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,434 2,232 $10K
96416 64 38 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,153 3,033 $10K
82607 2,309 2,281 $9K
93017 367 355 $8K
87086 Culture, bacterial; quantitative colony count, urine 5,591 5,254 $8K
73562 297 294 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,209 4,909 $8K
96523 462 398 $8K
20553 72 71 $8K
87653 652 651 $8K
90686 535 533 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 24 24 $7K
83550 2,489 2,400 $7K
88142 753 751 $7K
87081 4,377 4,263 $7K
72050 136 135 $6K
84439 2,941 2,872 $6K
86803 1,180 1,177 $6K
80048 Basic metabolic panel (calcium, ionized) 4,979 4,165 $6K
76770 101 100 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 311 302 $6K
84702 1,517 1,083 $6K
83540 2,673 2,568 $6K
73221 43 42 $5K
87340 1,397 1,390 $5K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 453 453 $5K
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 4,616 3,994 $5K
96127 517 508 $4K
83880 1,809 1,664 $4K
36430 28 13 $4K
93225 86 86 $4K
85027 2,371 2,277 $4K
97116 348 185 $4K
83735 7,683 6,385 $4K
73560 397 390 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 326 326 $4K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 12 12 $4K
90677 14 14 $3K
81001 16,463 14,773 $3K
84481 810 796 $3K
90678 12 12 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 68 57 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 220 219 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 55 53 $3K
73080 214 210 $3K
84146 833 824 $3K
20552 32 32 $3K
86592 1,463 1,457 $3K
73140 106 105 $3K
90474 224 224 $3K
86762 610 609 $3K
97597 40 24 $3K
87088 1,573 1,504 $3K
87186 1,746 1,663 $3K
86850 2,711 2,521 $3K
90837 Psychotherapy, 53 minutes with patient 32 30 $2K
86140 3,567 3,142 $2K
72131 54 54 $2K
82746 588 576 $2K
95806 28 28 $2K
87070 895 871 $2K
77066 Tomosynthesis, mammo 40 40 $2K
72072 76 76 $2K
P9016 Red blood cells, leukocytes reduced, each unit 18 12 $2K
94618 140 134 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 137 137 $2K
80306 2,865 2,580 $2K
82570 852 781 $2K
88342 122 117 $2K
96411 70 39 $2K
93925 14 14 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,269 1,226 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 328 284 $2K
80076 499 416 $1K
81025 7,049 6,525 $1K
87276 4,459 4,347 $1K
85610 4,853 4,042 $1K
85652 2,531 2,379 $1K
87077 870 830 $1K
97012 192 90 $1K
83615 1,064 1,017 $1K
83970 79 77 $1K
87275 4,459 4,347 $1K
76882 24 24 $1K
86703 209 207 $1K
82951 178 173 $1K
90480 27 27 $1K
73090 86 81 $929.44
85730 2,355 2,122 $921.67
83690 5,268 4,735 $901.30
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,199 1,835 $866.22
77080 13 13 $842.92
76870 26 24 $815.01
G0008 Administration of influenza virus vaccine 126 123 $797.85
86901 2,891 2,670 $728.91
73523 15 15 $713.31
82043 315 309 $679.32
85018 778 727 $630.73
84156 525 478 $626.97
71101 37 36 $624.18
90656 38 38 $589.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 29 27 $580.02
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 39 39 $572.44
82950 278 276 $556.05
85046 364 357 $534.89
87220 418 408 $524.68
0013A 16 16 $488.53
87430 2,475 2,435 $483.90
87205 378 370 $440.86
87075 363 350 $438.35
88312 97 95 $371.69
74019 13 13 $364.50
83655 73 73 $360.52
85379 1,749 1,693 $359.14
86481 12 12 $354.92
84703 1,730 1,678 $352.06
87807 909 896 $310.10
84403 28 26 $307.21
94010 13 13 $305.35
82550 334 297 $293.99
81002 289 284 $293.73
72040 12 12 $265.20
82565 182 146 $258.84
87040 1,528 1,310 $249.11
70486 12 12 $247.08
73590 12 12 $241.65
87797 16 16 $222.48
97032 33 25 $205.36
84112 14 12 $181.38
86923 19 12 $175.50
12001 97 96 $171.68
80069 56 48 $163.00
73060 14 12 $152.09
83605 5,536 4,891 $151.32
84100 369 317 $147.72
90715 596 594 $136.09
85014 139 135 $127.33
87808 29 29 $106.07
84145 460 428 $102.55
70498 13 12 $100.63
86038 13 13 $97.81
80178 48 38 $87.48
82962 4,185 3,027 $86.08
88304 121 114 $85.57
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 485 264 $62.74
84484 5,804 5,017 $46.62
82150 14 12 $41.11
82140 32 27 $38.36
87420 13 13 $36.64
88313 267 261 $36.25
85045 27 26 $34.48
84460 16 15 $33.73
84450 16 15 $32.96
80164 14 12 $28.57
82378 23 14 $20.74
86308 28 27 $12.84
J2250 Injection, midazolam hydrochloride, per 1 mg 4,582 4,064 $1.09
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,043 875 $0.00
J7030 Infusion, normal saline solution , 1000 cc 11,286 8,213 $0.00
99152 48 43 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,794 7,600 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 533 484 $0.00
94729 1,722 1,696 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 3,286 3,066 $0.00
C9113 Injection, pantoprazole sodium, per vial 92 65 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,577 1,247 $0.00
J1756 Injection, iron sucrose, 1 mg 1,380 619 $0.00
94799 180 163 $0.00
90670 131 131 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,732 2,832 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,256 846 $0.00
J0640 Injection, leucovorin calcium, per 50 mg 73 25 $0.00
94664 624 582 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 832 673 $0.00
90633 143 143 $0.00
90700 54 54 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 226 224 $0.00
86318 352 348 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 246 191 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 249 186 $0.00
93226 86 86 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 57 43 $0.00
90681 128 128 $0.00
J9190 Injection, fluorouracil, 500 mg 108 38 $0.00
J1644 Injection, heparin sodium, per 1000 units 165 92 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 67 67 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 78 31 $0.00
J3489 Injection, zoledronic acid, 1 mg 14 14 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 23 17 $0.00
J1020 Injection, methylprednisolone acetate, 20 mg 14 12 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 16 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 82 57 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 17 15 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,593 6,031 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,467 1,035 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,103 2,376 $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 594 558 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 1,123 751 $0.00
J1170 Injection, hydromorphone, up to 4 mg 4,648 3,350 $0.00
96368 482 284 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 423 377 $0.00
94760 550 494 $0.00
96376 2,644 2,031 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 8,165 7,282 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 5,138 4,336 $0.00
A9270 Non-covered item or service 1,852 1,390 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 916 379 $0.00
J0690 Injection, cefazolin sodium, 500 mg 1,858 1,516 $0.00
J2704 Injection, propofol, 10 mg 1,734 1,703 $0.00
90647 314 314 $0.00
J7050 Infusion, normal saline solution, 250 cc 824 469 $0.00
J9045 Injection, carboplatin, 50 mg 154 86 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 418 344 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 303 273 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 25 22 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 244 212 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 162 152 $0.00
J2060 Injection, lorazepam, 2 mg 1,205 929 $0.00
80320 30 26 $0.00
90723 214 214 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 331 319 $0.00
82803 75 63 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 56 52 $0.00
J3480 Injection, potassium chloride, per 2 meq 202 110 $0.00
88307 12 12 $0.00
J2785 Injection, regadenoson, 0.1 mg 13 13 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 69 67 $0.00
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 15 13 $0.00
J3360 Injection, diazepam, up to 5 mg 39 38 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 15 12 $0.00