Medicaid Provider Spending

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

MCLAREN BAY REGION

NPI: 1700127818 · SAGINAW, MI 48604 · Gastroenterology Physician · NPI assigned 03/14/2013

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

Authorized official JACKS PORTER, DANIELLE controls 11+ related entities in our dataset. Read more

$101K
Total Medicaid Paid
1,564
Total Claims
1,479
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialJACKS PORTER, DANIELLE (CFO)
NPI Enumeration Date03/14/2013

Related Entities

Other providers sharing the same authorized official: JACKS PORTER, DANIELLE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,459 $94K
2019 105 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 179 176 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 343 334 $22K
99222 Initial hospital care, per day, moderate complexity 306 287 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 119 118 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 193 186 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 252 250 $7K
43235 75 70 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 62 31 $1K
99232 Subsequent hospital care, per day, moderate complexity 22 14 $862.73