Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Munson Healthcare Otsego Memorial Hospital

Munson Healthcare Otsego Memorial Hospital was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.

33Billing provider infoMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
INDIAN RIVER, MI 49749
33aNPI1639420557assigned 10/02/2012
28Total paid$3.42M
24GClaims128,577
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Michigan

Rank by total paid#6 of 91
Median peer was paid$81K
This provider vs. median42×

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

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
201822,210$562K
201920,052$523K
202015,857$389K
202117,337$454K
202218,525$476K
202318,002$496K
2024incomplete16,594$515K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 52% 55,166 48,091 $1.77M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 33,499 29,755 $867K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11% 9,330 8,924 $367K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 1,744 1,742 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 1,968 1,936 $58K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 1,847 1,840 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 710 710 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,419 1,405 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,298 3,238 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,350 1,167 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 672 664 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 241 241 $14K
47 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,516 $11K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,290 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 462 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 186 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 424 $6K
90472 Immunization administration, each additional vaccine (list separately) <1% 514 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,053 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 279 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 73 $4K
81002 <1% 2,103 $3K
99204 Doctor's office visit, new patient (more involved) <1% 84 $3K
90686 <1% 663 $2K
81025 <1% 581 $2K
90688 <1% 89 $1K
90474 <1% 120 $687.21
99000 <1% 38 $418.24
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 66 $366.35
90677 <1% 178 $298.14
99406 <1% 39 $288.00
87807 <1% 47 $238.70
90670 <1% 1,097 $230.14
99459 <1% 17 $123.10
90656 <1% 15 $104.70
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 67 $90.90
90715 <1% 12 $73.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 $7.80
96127 <1% 563 $3.14
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 50 $0.13
90461 0% 1,656 $0.00
90633 0% 261 $0.00
90621 0% 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 30 $0.00
90685 0% 73 $0.00
90710 0% 13 $0.00
90681 0% 16 $0.00
90734 0% 39 $0.00
3078F 0% 24 $0.00
90680 0% 517 $0.00
90697 0% 77 $0.00
90651 0% 50 $0.00
90744 0% 128 $0.00
90723 0% 88 $0.00
90647 0% 213 $0.00
90698 0% 337 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 112 $0.00
3074F 0% 36 $0.00
90696 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 officialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
Same official

Other billing entities under KRUSZKA, BONNIE

Full network →
ProviderLocationPaid
Munson Healthcare Otsego Memorial HospitalGaylord, MI$14.27M
Munson Healthcare Otsego Memorial HospitalGaylord, MI$6.20M
Munson Healthcare GraylingGrayling, MI$4.84M
Munson Healthcare CadillacCadillac, MI$3.67M
Munson Healthcare Manistee HospitalManistee, MI$2.99M
Munson Healthcare Otsego Memorial HospitalGaylord, MI$1.91M
Munson Healthcare GraylingPrudenville, MI$1.90M
Munson Healthcare Charlevoix HospitalCharlevoix, MI$1.84M
Munson Medical GroupTraverse City, MI$1.83M
Munson Healthcare Otsego Memorial HospitalGaylord, MI$1.31M
Munson Healthcare CadillacCadillac, MI$1.23M
Munson Healthcare Charlevoix HospitalBoyne City, MI$1.18M
Munson Medical CenterTraverse City, MI$1.16M
Munson Medical CenterTraverse City, MI$1.07M
Munson Healthcare Manistee HospitalManistee, MI$1.06M
Munson Medical GroupTraverse City, MI$1.02M
Munson Healthcare GraylingRoscommon, MI$901K
Munson Healthcare Otsego Memorial HospitalLewiston, MI$797K
Munson Medical CenterTraverse City, MI$743K
Munson Medical CenterTraverse City, MI$694K

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