Mackinac Straits Health System INC
Mackinac Straits Health System INC was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoMACKINAC STRAITS HEALTH SYSTEM INC
SAINT IGNACE, MI 49781
SAINT IGNACE, MI 49781
33aNPI1659536035assigned 07/24/2008
33bProvider typePain Management Registered Nurse
28Total paid$1.12M
24GClaims30,250
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,238 | $174K | |
| 2019 | 6,043 | $132K | |
| 2020 | 3,158 | $106K | |
| 2021 | 4,358 | $159K | |
| 2022 | 4,840 | $181K | |
| 2023 | 3,187 | $191K | |
| 2024incomplete | 3,426 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 7,765 | 7,125 | $388K |
| 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 | 22% | 3,449 | 3,183 | $246K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 3,293 | 3,061 | $224K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 4,334 | 4,103 | $180K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 735 | 700 | $24K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.7% | 203 | 196 | $19K |
| 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% | 150 | 150 | $10K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 217 | 211 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 62 | 61 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 130 | 116 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | 40 | $2K |
| 99442 | <1% | 115 | 105 | $2K |
37 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 245 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 99307 | <1% | 132 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 115 | $969.85 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 79 | $693.16 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $361.07 |
| 99406 | <1% | 42 | $319.08 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 146 | $271.99 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 23 | $245.03 |
| 90686 | <1% | 42 | $206.48 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 44 | $192.44 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 17 | $178.35 |
| 99441 | <1% | 17 | $134.64 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 29 | $0.10 |
| 3074F | <1% | 1,360 | $0.03 | |
| 1159F | <1% | 368 | $0.03 | |
| 3078F | <1% | 1,399 | $0.02 | |
| 3077F | <1% | 127 | $0.02 | |
| 1126F | <1% | 138 | $0.01 | |
| 3008F | <1% | 2,492 | $0.01 | |
| 3079F | <1% | 274 | $0.01 | |
| 2000F | <1% | 1,637 | $0.01 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 81 | $0.00 |
| 3080F | 0% | 57 | $0.00 | |
| 1031F | 0% | 300 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 40 | $0.00 |
| 1000F | 0% | 202 | $0.00 | |
| 3075F | 0% | 84 | $0.00 | |
| 99172 | 0% | 12 | $0.00 | |
| 1036F | 0% | 101 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| 1034F | 0% | 22 | $0.00 | |
| 4037F | 0% | 12 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $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 officialSPRAGUE, SONJA (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Mackinac Straits Health System INC | Saint Ignace, MI | $793K |
| Mackinac Straits Health System INC | Cheboygan, MI | $526K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.