Mclaren Bay Region

Mclaren Bay Region was paid $101K by Medicaid between Jan 2018 and Jan 2019, across 10 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 22% of everything it billed.

33Billing provider infoMCLAREN BAY REGION
SAGINAW, MI 48604

33aNPI1700127818assigned 03/14/2013

33bProvider typeGastroenterology Physician

28Total paid$101K

24GClaims1,564

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Gastroenterology Physician providers in Michigan

Rank by total paid#31 of 67

Median peer was paid$89K

This provider vs. median1.1×

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 JACKS PORTER, DANIELLE controls 11+ 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	1,459	$94K
2019	105	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	22%	179	176	$23K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	22%	343	334	$22K
99222	Initial hospital care, per day, moderate complexity	21%	306	287	$21K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	12%	119	118	$12K
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	8.0%	193	186	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	252	250	$7K
43235		4.5%	75	70	$5K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.4%	13	13	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.2%	62	31	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	22	14	$862.73

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 officialJACKS PORTER, DANIELLE (CFO)

Same official

Other billing entities under JACKS PORTER, DANIELLE

Full network →

Provider	Location	Paid
Mclaren Bay Region	Bay City, MI	$31.72M
Mclaren Bay Region	Bay City, MI	$9.34M
Mclaren Bay Region	Bay City, MI	$937K
Mclaren Bay Region	Essexville, MI	$288K
Mclaren Primary Care	West Branch, MI	$250K
Mclaren Primary Care	Saint Helen, MI	$115K
Mclaren Primary Care	Alger, MI	$99K
Mclaren Primary Care	Mio, MI	$67K
Mclaren Primary Care	Rose City, MI	$42K
Mclaren Bay Region	Bay City, MI	$40K
Mclaren Primary Care	West Branch, MI	$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.