Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER STANDISH

NPI: 1659465094 · STANDISH, MI 48658 · Critical Access Hospital · NPI assigned 10/02/2006

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

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

$7.15M
Total Medicaid Paid
198,545
Total Claims
176,398
Beneficiaries
128
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date10/02/2006

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 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 32,957 $1.01M
2019 39,512 $1.05M
2020 24,918 $947K
2021 28,102 $1.09M
2022 26,826 $1.01M
2023 27,516 $1.15M
2024 18,714 $903K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,207 4,843 $1.81M
99284 Emergency department visit for the evaluation and management, high severity 7,714 7,202 $1.56M
99283 Emergency department visit for the evaluation and management, moderate severity 10,072 9,598 $1.37M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,202 4,749 $570K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,678 1,610 $289K
71045 Radiologic examination, chest; single view 3,694 3,460 $148K
96375 Therapeutic injection; each additional sequential IV push 4,235 3,712 $143K
96361 Intravenous infusion, hydration; each additional hour 4,022 3,458 $142K
70450 Computed tomography, head or brain; without contrast material 1,303 1,243 $127K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,412 1,392 $110K
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 2,193 2,097 $96K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,135 891 $88K
71046 Radiologic examination, chest; 2 views 1,910 1,842 $85K
77067 Screening mammography, bilateral, including computer-aided detection 1,143 1,139 $67K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 636 600 $66K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 169 160 $57K
74176 Computed tomography, abdomen and pelvis; without contrast material 508 488 $56K
80061 Lipid panel 2,839 2,767 $51K
G0378 Hospital observation service, per hour 627 330 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 874 845 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 145 136 $22K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 601 155 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 413 411 $19K
84443 Thyroid stimulating hormone (TSH) 3,623 3,499 $18K
80053 Comprehensive metabolic panel 11,924 10,577 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,929 11,866 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,290 1,272 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,178 2,013 $9K
36415 Collection of venous blood by venipuncture 14,313 11,743 $8K
73564 392 343 $8K
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 1,506 1,381 $7K
83036 Hemoglobin; glycosylated (A1C) 2,153 2,099 $6K
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 459 444 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 105 100 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,766 3,368 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,055 3,618 $4K
77063 Screening digital breast tomosynthesis, bilateral 260 260 $4K
73030 302 269 $4K
0012A 98 98 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 176 89 $4K
80048 Basic metabolic panel (calcium, ionized) 3,179 2,638 $3K
73630 406 389 $3K
73610 370 356 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $3K
72125 Computed tomography, cervical spine; without contrast material 117 114 $3K
72110 67 67 $3K
0011A 104 104 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 275 270 $2K
85610 4,175 3,326 $2K
71271 27 27 $2K
87086 Culture, bacterial; quantitative colony count, urine 2,470 2,326 $2K
83735 1,927 1,477 $2K
72131 25 24 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,387 1,147 $1K
82043 633 624 $1K
73130 262 229 $1K
86140 2,658 2,264 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 12 12 $967.45
76830 Ultrasound, transvaginal 12 12 $967.08
72100 27 25 $783.78
87070 1,035 1,009 $719.61
85027 795 697 $602.13
84439 200 187 $575.60
81003 3,247 3,099 $519.48
83880 793 727 $495.76
87186 610 591 $479.32
83690 3,625 3,253 $472.82
82570 236 233 $458.92
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 16 16 $433.44
81001 2,895 2,716 $362.39
82150 2,372 2,162 $332.70
74018 27 25 $311.94
73110 55 52 $255.54
85730 2,827 2,603 $244.31
87088 327 320 $233.33
99406 30 26 $228.24
82550 2,522 2,214 $224.52
82728 49 47 $200.48
84484 3,424 2,856 $181.17
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 872 684 $169.48
85652 436 349 $169.32
83550 54 53 $140.25
83540 68 67 $134.09
93017 33 30 $127.31
85007 470 415 $120.27
90715 207 205 $114.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,248 1,226 $95.85
87634 13 12 $92.48
85379 788 720 $73.01
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 244 239 $72.23
84703 447 429 $68.74
81025 1,902 1,805 $66.44
82607 13 13 $61.67
87040 540 498 $45.05
83605 2,165 1,940 $43.50
87077 103 95 $31.72
J7030 Infusion, normal saline solution , 1000 cc 6,174 5,352 $29.11
87205 49 46 $20.29
87420 74 74 $18.32
82962 213 107 $6.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,065 1,975 $6.22
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,190 2,833 $5.10
J1170 Injection, hydromorphone, up to 4 mg 1,031 871 $5.06
J1885 Injection, ketorolac tromethamine, per 15 mg 4,066 3,753 $4.60
96376 885 598 $2.82
94760 341 228 $0.91
91301 161 161 $0.18
J2270 Injection, morphine sulfate, up to 10 mg 130 119 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 831 688 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 183 171 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 42 25 $0.00
93356 12 12 $0.00
82805 46 38 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 28 25 $0.00
36600 29 24 $0.00
87150 35 33 $0.00
A9270 Non-covered item or service 3,432 2,967 $0.00
82553 906 796 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 137 102 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 444 431 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,298 1,180 $0.00
74022 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 391 321 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 192 181 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 12 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 14 14 $0.00
J2060 Injection, lorazepam, 2 mg 16 14 $0.00