Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Mt Pleasant › NPI 1619941317
Hospital

Mclaren Central Michigan

Mclaren Central Michigan was paid $14.87M by Medicaid between Jan 2018 and Dec 2024, across 264 billing codes. Its largest line is 99284, emergency room visit (serious) — 21% of everything it billed.

33Billing provider infoMCLAREN CENTRAL MICHIGAN
MT PLEASANT, MI 48858
33aNPI1619941317assigned 02/17/2006
28Total paid$14.87M
24GClaims605,233
24DCodes billed264
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rural Acute Care Hospital providers in Michigan

Rank by total paid#2 of 5
Median peer was paid$13.93M
This provider vs. median1.1×

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 SOULES, TARA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201871,780$1.92M
201990,020$1.96M
202069,918$1.59M
202192,866$2.25M
2022100,221$2.55M
2023100,298$2.46M
2024incomplete80,130$2.14M
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 21% 17,460 15,998 $3.17M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 22,284 20,933 $2.60M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 7,057 6,547 $2.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6.9% 10,675 9,703 $1.03M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 3,178 3,032 $477K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.3% 5,088 4,881 $349K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.3% 8,242 6,080 $341K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 3,751 3,130 $326K
96361 Intravenous infusion, hydration; each additional hour 2.0% 10,829 9,273 $303K
96375 Therapeutic injection; each additional sequential IV push 2.0% 9,506 8,143 $301K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.9% 4,003 3,932 $275K
70450 Computed tomography, head or brain; without contrast material 1.8% 3,322 3,152 $272K
252 more codes
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.6% 2,532 $241K
59025 Fetal non-stress test 1.6% 2,806 $235K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 1,004 $215K
71046 Radiologic examination, chest; 2 views 1.4% 5,872 $205K
71045 Radiologic examination, chest; single view 1.3% 5,185 $200K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.2% 7,185 $178K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 1,472 $162K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,386 $106K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 10,202 $99K
76830 Ultrasound, transvaginal <1% 1,744 $99K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 2,468 $99K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,926 $92K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 1,912 $67K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,177 $66K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,149 $60K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 998 $55K
73630 <1% 2,651 $51K
80061 Lipid panel <1% 8,542 $46K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 383 $44K
82947 <1% 2,062 $42K
71275 Computed tomographic angiography, chest, with contrast material <1% 407 $37K
84443 Thyroid stimulating hormone (TSH) <1% 12,229 $36K
80053 Comprehensive metabolic panel <1% 30,440 $36K
G0378 Hospital observation service, per hour <1% 635 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 37,512 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,548 $27K
73610 <1% 1,700 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 431 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 189 $23K
73030 <1% 1,407 $21K
73564 <1% 745 $20K
86900 <1% 1,761 $20K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 955 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,519 $19K
93971 <1% 341 $18K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,400 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,086 $17K
83036 Hemoglobin; glycosylated (A1C) <1% 8,187 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,078 $17K
36415 Collection of venous blood by venipuncture <1% 25,475 $16K
73130 <1% 1,269 $15K
97161 <1% 286 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,207 $12K
73110 <1% 732 $11K
87390 <1% 1,750 $11K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 431 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,896 $11K
72100 <1% 296 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 874 $10K
84439 <1% 5,068 $10K
80055 <1% 587 $10K
73502 <1% 412 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,388 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 406 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,054 $8K
82607 <1% 2,685 $8K
94060 <1% 65 $8K
93017 <1% 238 $8K
73562 <1% 431 $7K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 645 $7K
74018 <1% 392 $7K
82728 <1% 2,111 $7K
86702 <1% 1,758 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 704 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 14 $6K
71271 <1% 101 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $6K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 326 $6K
87634 <1% 887 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,796 $5K
84702 <1% 1,856 $5K
80048 Basic metabolic panel (calcium, ionized) <1% 5,986 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 587 $4K
87070 <1% 2,581 $4K
86701 <1% 1,752 $4K
86803 <1% 955 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,057 $4K
83550 <1% 1,564 $4K
83540 <1% 2,236 $3K
74022 <1% 2,158 $3K
87186 <1% 2,702 $3K
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% 2,220 $3K
81001 <1% 12,461 $3K
74019 <1% 109 $3K
72110 <1% 186 $3K
87077 <1% 2,763 $3K
J3490 Unclassified drugs <1% 13,733 $3K
83735 <1% 7,547 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 13 $3K
82746 <1% 952 $3K
85027 <1% 2,024 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,819 $3K
87480 <1% 945 $2K
87660 <1% 945 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 634 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 319 $2K
87510 <1% 942 $2K
81003 <1% 10,041 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 40 $2K
86140 <1% 4,187 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 132 $2K
87081 <1% 2,581 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 409 $2K
80074 <1% 195 $2K
86850 <1% 1,561 $2K
83880 <1% 2,264 $2K
76801 <1% 29 $2K
82570 <1% 1,684 $2K
73221 <1% 12 $2K
81025 <1% 7,548 $1K
82043 <1% 1,374 $1K
85610 <1% 6,315 $1K
82950 <1% 730 $1K
76770 <1% 24 $1K
73100 <1% 31 $1K
73560 <1% 47 $1K
76642 <1% 29 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 31 $1K
86038 <1% 393 $999.91
83690 <1% 6,859 $992.07
85652 <1% 2,370 $973.48
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% 69 $971.92
72131 <1% 28 $941.43
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 95 $787.76
83516 <1% 154 $760.88
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,491 $729.39
73140 <1% 29 $727.20
76536 <1% 13 $715.55
82248 <1% 328 $689.03
76775 <1% 13 $668.00
85730 <1% 3,888 $658.53
G0482 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; 15-21 drug class(es), including metabolite(s) if performed <1% 73 $641.34
80076 <1% 560 $613.39
84703 <1% 978 $607.63
86787 <1% 121 $564.04
84403 <1% 104 $539.08
72050 <1% 28 $525.72
83655 <1% 137 $492.82
72040 <1% 24 $476.52
94726 <1% 13 $474.36
86901 <1% 1,885 $471.02
82247 <1% 214 $458.19
84146 <1% 86 $424.25
82150 <1% 727 $388.51
87340 <1% 222 $374.82
83001 <1% 81 $374.08
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 41 $362.53
87205 <1% 619 $335.96
86780 <1% 77 $320.06
87147 <1% 356 $304.49
84550 <1% 573 $300.56
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,746 $300.00
73590 <1% 12 $290.88
93296 <1% 12 $247.55
83020 <1% 69 $243.82
96367 <1% 13 $225.90
J7030 Infusion, normal saline solution , 1000 cc <1% 6,956 $213.20
85007 <1% 205 $209.17
84484 <1% 5,964 $176.49
83721 <1% 57 $169.84
86308 <1% 866 $169.27
85379 <1% 1,990 $165.82
87522 Neg quan hep c or qual rna <1% 13 $164.71
85018 <1% 196 $162.34
Q3014 Telehealth originating site facility fee <1% 27 $146.94
82565 <1% 114 $136.76
93225 <1% 13 $133.22
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 166 $132.33
84481 <1% 58 $130.06
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 16 $128.34
84156 <1% 182 $125.49
82951 <1% 29 $116.37
85014 <1% 150 $116.26
86431 <1% 89 $112.40
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,195 $106.87
84460 <1% 129 $102.94
87046 <1% 29 $98.80
86677 <1% 165 $95.84
87040 <1% 1,372 $86.91
82550 <1% 211 $82.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 66 $81.43
A9270 Non-covered item or service <1% 22,550 $81.41
86364 <1% 15 $80.98
86592 <1% 41 $77.55
82077 <1% 1,784 $71.56
87807 <1% 62 $67.10
83605 <1% 2,265 $65.50
82977 <1% 58 $59.54
72072 <1% 15 $57.04
87045 <1% 29 $49.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,292 $46.71
G0008 Administration of influenza virus vaccine <1% 45 $46.33
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,666 $40.58
84450 <1% 42 $40.19
84480 <1% 15 $36.74
84520 <1% 35 $33.10
85651 <1% 14 $29.96
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 966 $27.45
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 161 $26.19
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,042 $23.03
87427 <1% 12 $20.25
86762 <1% 30 $18.94
87075 <1% 42 $18.92
80179 <1% 732 $14.91
80143 <1% 772 $14.91
84100 <1% 63 $8.94
36416 <1% 254 $0.01
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 870 $0.00
J2704 Injection, propofol, 10 mg 0% 3,493 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 3,385 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 1,656 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 290 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 1,265 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 674 $0.00
J2060 Injection, lorazepam, 2 mg 0% 798 $0.00
96376 0% 1,905 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 2,256 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 1,282 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 1,882 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 214 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 568 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 108 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 26 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 40 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 55 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 41 $0.00
J8597 Antiemetic drug, oral, not otherwise specified 0% 26 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 27 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 18 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 2,902 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 41 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 2,709 $0.00
90715 0% 661 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 2,828 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 2,021 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 27 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 288 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 266 $0.00
S5000 Prescription drug, generic 0% 1,464 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 541 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 226 $0.00
94729 0% 68 $0.00
J7510 Prednisolone oral, per 5 mg 0% 48 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 27 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 52 $0.00
82010 0% 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 27 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 33 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 78 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 12 $0.00
82800 0% 23 $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 officialSOULES, TARA (CFO)
Same official

Other billing entities under SOULES, TARA

Full network →
ProviderLocationPaid
Mclaren Central MichiganMount Pleasant, MI$2.76M
Mclaren Central MichiganPetoskey, MI$1.23M
Mclaren Central MichiganWest Branch, MI$691K
Mclaren Central MichiganCheboygan, MI$218K
Mclaren Central MichiganMt Pleasant, MI$180K
Mclaren Central MichiganGaylord, MI$177K
Mclaren Central MichiganMt Pleasant, MI$168K
Mclaren Central MichiganSaint Helen, MI$148K
Mclaren Central MichiganMt Pleasant, MI$141K
Mclaren Central MichiganMio, MI$129K
Mclaren Central MichiganMt Pleasant, MI$101K
Mclaren Central MichiganMt Pleasant, MI$96K
Mclaren Central MichiganBrown City, MI$71K
Mclaren Central MichiganAlger, MI$69K
Mclaren Central MichiganPetoskey, MI$68K
Mclaren Central MichiganClare, MI$65K
Mclaren Central MichiganBad Axe, MI$61K
Mclaren Central MichiganStandish, MI$61K
Mclaren Central MichiganOkemos, MI$56K
Mclaren Central MichiganRose City, MI$36K

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