Medicaid Provider Spending

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

MYMICHIGAN MEDICAL GROUP

NPI: 1629027669 · MIDLAND, MI 48670 · Internal Medicine Physician · NPI assigned 05/08/2006

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

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

$5.09M
Total Medicaid Paid
117,890
Total Claims
87,323
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/08/2006

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 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 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 11,465 $494K
2019 16,394 $658K
2020 16,755 $692K
2021 20,172 $829K
2022 19,601 $816K
2023 18,713 $829K
2024 14,790 $772K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 24,749 8,671 $993K
99233 Prolong inpt eval add15 m 12,547 5,605 $742K
99223 Prolong inpt eval add15 m 6,961 6,602 $735K
99239 Hospital discharge day management, more than 30 minutes 8,323 7,851 $522K
99222 Initial hospital care, per day, moderate complexity 4,308 4,152 $324K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,944 4,410 $293K
99220 2,488 2,432 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,868 5,087 $226K
99238 Hospital discharge day management, 30 minutes or less 3,657 3,531 $146K
99219 1,932 1,890 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,376 1,360 $125K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,810 2,804 $117K
99217 3,376 3,281 $115K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,480 18,876 $107K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,574 712 $57K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,269 648 $34K
99225 1,805 1,209 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 344 342 $21K
99215 Prolong outpt/office vis 157 130 $13K
99221 232 225 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 269 269 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 152 152 $11K
93227 813 813 $10K
93018 958 954 $8K
99226 349 260 $7K
93016 545 545 $7K
90686 396 390 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 270 230 $6K
94726 759 750 $5K
94060 714 709 $5K
93296 316 313 $4K
94729 749 740 $4K
99218 66 64 $3K
93299 43 41 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 338 $3K
95811 28 28 $2K
93000 216 215 $2K
93294 111 108 $2K
99235 12 12 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 244 237 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68 68 $822.23
93298 43 41 $647.27
94618 45 45 $533.82
95806 12 12 $348.76
93272 12 12 $193.96
93325 91 90 $168.57
93321 28 28 $120.44
99441 17 16 $73.12
G0008 Administration of influenza virus vaccine 26 25 $0.00