Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAULT

NPI: 1699832279 · SAULT SAINTE MARIE, MI 49783 · Surgery Physician · NPI assigned 01/02/2007

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

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

$3.78M
Total Medicaid Paid
100,194
Total Claims
91,461
Beneficiaries
95
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date01/02/2007

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 CENTER STANDISH STANDISH MI $7.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $5.09M
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 7,543 $236K
2019 10,325 $348K
2020 12,158 $413K
2021 20,374 $756K
2022 26,348 $927K
2023 16,362 $728K
2024 7,084 $377K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,129 15,795 $999K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,091 18,536 $833K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,495 3,441 $282K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,799 3,756 $186K
99215 Prolong outpt/office vis 1,995 1,862 $182K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,655 7,196 $171K
99232 Subsequent hospital care, per day, moderate complexity 3,801 1,228 $150K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,038 2,032 $137K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,251 2,094 $133K
99238 Hospital discharge day management, 30 minutes or less 2,241 2,166 $91K
90791 Psychiatric diagnostic evaluation 929 917 $87K
99222 Initial hospital care, per day, moderate complexity 996 917 $74K
90834 Psychotherapy, 45 minutes with patient 1,289 1,172 $64K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,073 2,048 $62K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 686 685 $46K
59025 Fetal non-stress test 1,887 930 $32K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 39 39 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 269 269 $21K
90472 Immunization administration, each additional vaccine (list separately) 1,300 1,298 $18K
99460 323 318 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 750 312 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,014 1,995 $16K
99221 239 219 $13K
96130 221 219 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,450 1,442 $12K
99239 Hospital discharge day management, more than 30 minutes 166 158 $11K
99205 Prolong outpt/office vis 84 83 $9K
99223 Prolong inpt eval add15 m 79 79 $8K
99443 261 238 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 100 99 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 71 71 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 76 76 $5K
99442 236 222 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 62 62 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 625 610 $4K
99284 Emergency department visit for the evaluation and management, high severity 54 52 $3K
90837 Psychotherapy, 53 minutes with patient 35 28 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 77 77 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 527 507 $2K
99217 64 64 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 93 90 $2K
99233 Prolong inpt eval add15 m 34 15 $2K
90686 830 826 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 53 53 $2K
20611 54 40 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 289 220 $2K
90832 Psychotherapy, 30 minutes with patient 46 36 $2K
90792 Psychiatric diagnostic evaluation with medical services 13 13 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 131 77 $1K
54150 13 13 $735.94
99406 68 67 $494.23
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 61 61 $449.50
99462 20 14 $447.83
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 77 73 $447.53
90670 1,121 1,109 $396.00
90474 130 130 $324.00
20553 16 16 $297.72
96103 15 15 $222.90
94060 27 27 $134.85
94729 28 28 $122.46
99441 16 16 $117.28
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 26 25 $105.40
94727 13 13 $90.09
94726 14 14 $67.29
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) 13 12 $37.92
J1040 Injection, methylprednisolone acetate, 80 mg 90 88 $24.12
81002 14 14 $2.88
96127 29 28 $2.77
J1885 Injection, ketorolac tromethamine, per 15 mg 26 25 $2.28
99173 579 576 $0.00
1159F 2,567 2,477 $0.00
3078F 1,574 1,539 $0.00
90700 209 209 $0.00
90633 295 295 $0.00
3077F 892 859 $0.00
90685 131 129 $0.00
90707 124 124 $0.00
1160F 1,688 1,639 $0.00
90713 47 46 $0.00
3051F 14 14 $0.00
90698 168 168 $0.00
90680 425 421 $0.00
3074F 1,852 1,804 $0.00
3075F 742 734 $0.00
3079F 1,368 1,344 $0.00
3080F 547 528 $0.00
90716 152 152 $0.00
99024 61 53 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 123 117 $0.00
92551 206 206 $0.00
90723 300 293 $0.00
90647 450 444 $0.00
3008F 772 749 $0.00
90744 51 51 $0.00
3044F 20 20 $0.00