Physician
Mackinaw Trail Health Associates, P.C.
Mackinaw Trail Health Associates, P.C. was paid $3.80M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoMACKINAW TRAIL HEALTH ASSOCIATES, P.C.
CADILLAC, MI 49601
CADILLAC, MI 49601
33aNPI1669549333assigned 11/29/2006
33bProvider typePediatrics Physician
28Total paid$3.80M
24GClaims207,647
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#33 of 349
Median peer was paid$321K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 31,506 | $509K | |
| 2019 | 29,298 | $507K | |
| 2020 | 25,864 | $471K | |
| 2021 | 31,722 | $601K | |
| 2022 | 32,634 | $590K | |
| 2023 | 31,324 | $599K | |
| 2024incomplete | 25,299 | $529K |
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 | 96% | 67,238 | 55,356 | $3.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 26,326 | 23,323 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,378 | 7,366 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,289 | 6,671 | $12K |
| 90670 | <1% | 4,307 | 4,298 | $11K | |
| D0190 | <1% | 7,772 | 7,757 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,087 | 5,085 | $10K |
| 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 | <1% | 11,025 | 10,200 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13,180 | 13,137 | $7K |
| 90677 | <1% | 629 | 629 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,841 | 2,839 | $7K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,775 | 1,197 | $4K |
53 more codes
| 90651 | <1% | 1,296 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,503 | $2K |
| 90716 | <1% | 1,088 | $2K | |
| 99000 | <1% | 1,335 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 368 | $2K |
| 90707 | <1% | 1,114 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,925 | $1K |
| 90734 | <1% | 760 | $855.76 | |
| 0072A | <1% | 31 | $790.37 | |
| 90744 | <1% | 2,615 | $684.44 | |
| 90686 | <1% | 2,491 | $636.18 | |
| 99188 | <1% | 1,421 | $595.98 | |
| 0071A | <1% | 36 | $527.66 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 726 | $526.25 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,189 | $484.60 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 773 | $438.72 |
| 90715 | <1% | 353 | $217.20 | |
| 98966 | <1% | 546 | $179.54 | |
| 92551 | <1% | 524 | $130.80 | |
| 85018 | <1% | 1,473 | $119.68 | |
| 87807 | <1% | 486 | $110.12 | |
| 81003 | <1% | 1,233 | $79.00 | |
| 90688 | <1% | 475 | $71.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 574 | $55.86 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 225 | $54.12 |
| 90685 | <1% | 640 | $43.62 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 737 | $40.00 |
| 90661 | <1% | 267 | $36.85 | |
| 90674 | <1% | 222 | $34.17 | |
| 90713 | <1% | 32 | $29.09 | |
| 99173 | 0% | 4,895 | $0.00 | |
| 90633 | 0% | 2,563 | $0.00 | |
| 99051 | 0% | 57 | $0.00 | |
| 90710 | 0% | 946 | $0.00 | |
| 94664 | 0% | 642 | $0.00 | |
| 90648 | 0% | 906 | $0.00 | |
| 90700 | 0% | 1,180 | $0.00 | |
| 90461 | 0% | 1,388 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 86 | $0.00 |
| 69210 | 0% | 25 | $0.00 | |
| 90687 | 0% | 75 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 17110 | 0% | 13 | $0.00 | |
| 90680 | 0% | 3,332 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 801 | $0.00 |
| 90698 | 0% | 3,726 | $0.00 | |
| 96127 | 0% | 1,061 | $0.00 | |
| 90696 | 0% | 910 | $0.00 | |
| 90620 | 0% | 143 | $0.00 | |
| 91307 | 0% | 73 | $0.00 | |
| 99381 | 0% | 96 | $0.00 | |
| 90619 | 0% | 369 | $0.00 | |
| 90723 | 0% | 42 | $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 officialHERRING, GERALD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mackinaw Trail Health Associates P C | Cadillac, MI | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.