Physician
Mackinac Straits Health System INC
Mackinac Straits Health System INC was paid $526K by Medicaid between May 2019 and Nov 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoMACKINAC STRAITS HEALTH SYSTEM INC
CHEBOYGAN, MI 49721
CHEBOYGAN, MI 49721
33aNPI1659868206assigned 04/19/2018
33bProvider typeFamily Medicine Physician
28Total paid$526K
24GClaims19,029
24DCodes billed32
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#207 of 826
Median peer was paid$98K
This provider vs. median5.4×
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.
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 | |
|---|---|---|---|
| 2019 | 1,062 | $47K | |
| 2020 | 3,039 | $96K | |
| 2021 | 4,914 | $107K | |
| 2022 | 5,690 | $110K | |
| 2023 | 2,573 | $98K | |
| 2024incomplete | 1,751 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 63% | 7,252 | 6,671 | $331K |
| 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 | 19% | 2,408 | 2,332 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 1,750 | 1,662 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 497 | 497 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 241 | 237 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 937 | 936 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 471 | 458 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 79 | 72 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 56 | 56 | $3K |
| 99443 | <1% | 14 | 14 | $821.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | 60 | $813.44 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 71 | 70 | $561.20 |
20 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $482.34 |
| 96127 | <1% | 199 | $379.49 | |
| 90686 | <1% | 95 | $59.58 | |
| 3078F | 0% | 283 | $0.00 | |
| 90670 | 0% | 24 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 141 | $0.00 |
| 1159F | 0% | 609 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 1125F | 0% | 268 | $0.00 | |
| 2000F | 0% | 601 | $0.00 | |
| 1126F | 0% | 167 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 2010F | 0% | 610 | $0.00 | |
| 3074F | 0% | 361 | $0.00 | |
| 3008F | 0% | 998 | $0.00 | |
| 1000F | 0% | 353 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 318 | $0.00 |
| 3079F | 0% | 105 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 90698 | 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)
Parent organizationMACKINAC STRAITS HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| Mackinac Straits Health System INC | Saint Ignace, MI | $1.12M |
| Mackinac Straits Health System INC | Saint Ignace, MI | $793K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.