Physician
Mymichigan Medical Center Sault
Mymichigan Medical Center Sault was paid $3.78M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER SAULT
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
33aNPI1699832279assigned 01/02/2007
33bProvider typeSurgery Physician
28Total paid$3.78M
24GClaims100,194
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Michigan
Rank by total paid#3 of 111
Median peer was paid$17K
This provider vs. median223×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more
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 | 7,543 | $236K | |
| 2019 | 10,325 | $348K | |
| 2020 | 12,158 | $413K | |
| 2021 | 20,374 | $756K | |
| 2022 | 26,348 | $927K | |
| 2023 | 16,362 | $728K | |
| 2024incomplete | 7,084 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 17,129 | 15,795 | $999K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 20,091 | 18,536 | $833K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.5% | 3,495 | 3,441 | $282K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 3,799 | 3,756 | $186K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 1,995 | 1,862 | $182K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 7,655 | 7,196 | $171K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.0% | 3,801 | 1,228 | $150K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 2,038 | 2,032 | $137K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 2,251 | 2,094 | $133K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 2,241 | 2,166 | $91K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.3% | 929 | 917 | $87K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 996 | 917 | $74K |
83 more codes
| 90834 | Psychotherapy session, about 45 minutes | 1.7% | 1,289 | $64K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 2,073 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 686 | $46K |
| 59025 | Fetal non-stress test | <1% | 1,887 | $32K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 39 | $29K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 269 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,300 | $18K |
| 99460 | <1% | 323 | $17K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 750 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,014 | $16K |
| 99221 | <1% | 239 | $13K | |
| 96130 | <1% | 221 | $12K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,450 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 166 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 84 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 79 | $8K |
| 99443 | <1% | 261 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 100 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 71 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 76 | $5K |
| 99442 | <1% | 236 | $5K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 62 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 625 | $4K |
| 99284 | Emergency room visit (serious) | <1% | 54 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 35 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 77 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 527 | $2K |
| 99217 | <1% | 64 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 93 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 34 | $2K |
| 90686 | <1% | 830 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 53 | $2K |
| 20611 | <1% | 54 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 289 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 46 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 131 | $1K |
| 54150 | <1% | 13 | $735.94 | |
| 99406 | <1% | 68 | $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 | <1% | 61 | $449.50 |
| 99462 | <1% | 20 | $447.83 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $447.53 |
| 90670 | <1% | 1,121 | $396.00 | |
| 90474 | <1% | 130 | $324.00 | |
| 20553 | <1% | 16 | $297.72 | |
| 96103 | <1% | 15 | $222.90 | |
| 94060 | <1% | 27 | $134.85 | |
| 94729 | <1% | 28 | $122.46 | |
| 99441 | <1% | 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) | <1% | 26 | $105.40 |
| 94727 | <1% | 13 | $90.09 | |
| 94726 | <1% | 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) | <1% | 13 | $37.92 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 90 | $24.12 |
| 81002 | <1% | 14 | $2.88 | |
| 96127 | <1% | 29 | $2.77 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $2.28 |
| 99173 | 0% | 579 | $0.00 | |
| 1159F | 0% | 2,567 | $0.00 | |
| 3078F | 0% | 1,574 | $0.00 | |
| 90700 | 0% | 209 | $0.00 | |
| 90633 | 0% | 295 | $0.00 | |
| 3077F | 0% | 892 | $0.00 | |
| 90685 | 0% | 131 | $0.00 | |
| 90707 | 0% | 124 | $0.00 | |
| 1160F | 0% | 1,688 | $0.00 | |
| 90713 | 0% | 47 | $0.00 | |
| 3051F | 0% | 14 | $0.00 | |
| 90698 | 0% | 168 | $0.00 | |
| 90680 | 0% | 425 | $0.00 | |
| 3074F | 0% | 1,852 | $0.00 | |
| 3075F | 0% | 742 | $0.00 | |
| 3079F | 0% | 1,368 | $0.00 | |
| 3080F | 0% | 547 | $0.00 | |
| 90716 | 0% | 152 | $0.00 | |
| 99024 | 0% | 61 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 123 | $0.00 |
| 92551 | 0% | 206 | $0.00 | |
| 90723 | 0% | 300 | $0.00 | |
| 90647 | 0% | 450 | $0.00 | |
| 3008F | 0% | 772 | $0.00 | |
| 90744 | 0% | 51 | $0.00 | |
| 3044F | 0% | 20 | $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 officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.