Medicaid Provider Spending

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

MYMICHIGAN MEDICAL GROUP

NPI: 1689623506 · MIDLAND, MI 48670 · Surgery Physician · NPI assigned 05/08/2006

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

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

$8.12M
Total Medicaid Paid
124,682
Total Claims
114,638
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/08/2006

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 CENTER STANDISH STANDISH MI $7.15M
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 21,161 $1.61M
2019 21,084 $1.37M
2020 14,020 $891K
2021 17,348 $1.16M
2022 19,790 $1.29M
2023 17,774 $1.00M
2024 13,505 $803K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 1,197 1,175 $1.08M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,403 15,364 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,613 20,752 $1.00M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,940 8,909 $874K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,033 1,017 $871K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,784 11,265 $777K
59430 1,106 1,103 $241K
59514 297 246 $210K
20610 6,717 5,777 $199K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,389 1,362 $191K
42820 Tonsillectomy and adenoidectomy; younger than age 12 975 963 $180K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 164 164 $158K
59025 Fetal non-stress test 6,245 2,935 $136K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 944 936 $83K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,234 1,218 $78K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,571 2,405 $67K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2,102 2,084 $52K
90715 1,406 1,387 $47K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 706 703 $46K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,092 1,083 $45K
59425 88 84 $38K
73564 1,624 1,429 $38K
73610 1,765 1,599 $38K
49083 683 291 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 618 543 $36K
25600 142 142 $31K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 200 198 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 408 373 $29K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 548 495 $27K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 3,220 3,122 $24K
73630 1,131 1,051 $24K
73110 958 806 $24K
73030 1,287 1,170 $21K
31575 313 310 $21K
J1040 Injection, methylprednisolone acetate, 80 mg 2,080 2,003 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,024 1,917 $20K
58300 370 367 $18K
81025 2,381 2,329 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,990 1,946 $17K
20611 326 312 $17K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 988 980 $16K
73502 693 671 $16K
54150 240 236 $15K
99232 Subsequent hospital care, per day, moderate complexity 355 196 $14K
69210 508 497 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 111 110 $11K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $10K
90686 493 484 $9K
99215 Prolong outpt/office vis 94 94 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 247 143 $8K
73562 343 334 $7K
73560 375 349 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 387 381 $6K
73100 302 250 $6K
36415 Collection of venous blood by venipuncture 1,973 1,881 $6K
64721 26 26 $6K
99152 786 746 $6K
31231 44 43 $5K
73130 243 205 $5K
51798 556 544 $4K
42826 26 26 $4K
30520 12 12 $4K
81002 1,686 1,582 $4K
57454 37 37 $4K
99222 Initial hospital care, per day, moderate complexity 44 41 $3K
76942 151 142 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 25 25 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 40 40 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 26 26 $3K
52000 28 28 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 294 279 $2K
92511 26 26 $2K
73140 74 62 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 274 268 $2K
58301 25 25 $1K
11982 14 14 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 30 30 $1K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 14 12 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 48 26 $1K
11981 14 14 $1K
73080 46 42 $906.68
99233 Prolong inpt eval add15 m 15 12 $770.63
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 54 53 $723.75
20605 28 26 $707.62
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 48 40 $682.32
99221 13 12 $632.08
20550 26 24 $566.85
97597 22 17 $428.82
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 26 26 $340.84
93880 13 13 $286.03
77080 43 43 $263.03
77001 25 25 $257.28
93970 12 12 $249.41
90472 Immunization administration, each additional vaccine (list separately) 27 26 $193.42
76937 13 13 $98.59
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) 14 14 $70.20
87220 29 29 $63.37
0500F 84 77 $0.00
0503F 13 13 $0.00
0502F 3,362 1,861 $0.00
T1015 Clinic visit/encounter, all-inclusive 31 28 $0.00