Medicaid Provider Spending

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL

NPI: 1639420557 · INDIAN RIVER, MI 49749 · General Practice Physician · NPI assigned 10/02/2012

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

Authorized official KRUSZKA, BONNIE controls 20+ related entities in our dataset. Read more

$3.42M
Total Medicaid Paid
128,577
Total Claims
115,842
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
NPI Enumeration Date10/02/2012

Related Entities

Other providers sharing the same authorized official: KRUSZKA, BONNIE

ProviderCityStateTotal Paid
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $14.27M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $6.20M
MUNSON HEALTHCARE GRAYLING GRAYLING MI $4.84M
MUNSON HEALTHCARE CADILLAC CADILLAC MI $3.67M
MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE MI $2.99M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $1.91M
MUNSON HEALTHCARE GRAYLING PRUDENVILLE MI $1.90M
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL CHARLEVOIX MI $1.84M
MUNSON MEDICAL GROUP TRAVERSE CITY MI $1.83M
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL GAYLORD MI $1.31M
MUNSON HEALTHCARE CADILLAC CADILLAC MI $1.23M
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL BOYNE CITY MI $1.18M
MUNSON MEDICAL CENTER TRAVERSE CITY MI $1.16M
MUNSON MEDICAL CENTER TRAVERSE CITY MI $1.07M
MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE MI $1.06M
MUNSON MEDICAL GROUP TRAVERSE CITY MI $1.02M
MUNSON HEALTHCARE GRAYLING ROSCOMMON MI $901K
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL LEWISTON MI $797K
MUNSON MEDICAL CENTER TRAVERSE CITY MI $743K
MUNSON MEDICAL CENTER TRAVERSE CITY MI $694K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,210 $562K
2019 20,052 $523K
2020 15,857 $389K
2021 17,337 $454K
2022 18,525 $476K
2023 18,002 $496K
2024 16,594 $515K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,166 48,091 $1.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,499 29,755 $867K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,330 8,924 $367K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,744 1,742 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,968 1,936 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,847 1,840 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 710 710 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,419 1,405 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,298 3,238 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,350 1,167 $19K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 672 664 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 241 241 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,516 1,511 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 2,290 2,283 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 462 441 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 186 185 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 424 417 $6K
90472 Immunization administration, each additional vaccine (list separately) 514 514 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,053 1,023 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 279 279 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 73 70 $4K
81002 2,103 2,021 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 84 83 $3K
90686 663 659 $2K
81025 581 570 $2K
90688 89 89 $1K
90474 120 120 $687.21
99000 38 36 $418.24
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 66 63 $366.35
90677 178 178 $298.14
99406 39 38 $288.00
87807 47 47 $238.70
90670 1,097 1,094 $230.14
99459 17 17 $123.10
90656 15 15 $104.70
J1885 Injection, ketorolac tromethamine, per 15 mg 67 65 $90.90
90715 12 12 $73.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $7.80
96127 563 560 $3.14
96110 Developmental screening, with scoring and documentation, per standardized instrument 50 49 $0.13
90461 1,656 1,651 $0.00
90633 261 259 $0.00
90621 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 30 $0.00
90685 73 73 $0.00
90710 13 13 $0.00
90681 16 16 $0.00
90734 39 39 $0.00
3078F 24 21 $0.00
90680 517 515 $0.00
90697 77 77 $0.00
90651 50 50 $0.00
90744 128 128 $0.00
90723 88 87 $0.00
90647 213 212 $0.00
90698 337 337 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 112 112 $0.00
3074F 36 33 $0.00
90696 13 13 $0.00