Medicaid Provider Spending

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

MCLAREN CENTRAL MICHIGAN

NPI: 1710235775 · MOUNT PLEASANT, MI 48858 · Family Medicine Physician · NPI assigned 08/23/2012

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

Authorized official SOULES, TARA controls 20+ related entities in our dataset. Read more

$2.76M
Total Medicaid Paid
72,009
Total Claims
62,651
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOULES, TARA (VP/CFO)
NPI Enumeration Date08/23/2012

Related Entities

Other providers sharing the same authorized official: SOULES, TARA

ProviderCityStateTotal Paid
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $14.87M
MCLAREN CENTRAL MICHIGAN PETOSKEY MI $1.23M
MCLAREN CENTRAL MICHIGAN WEST BRANCH MI $691K
MCLAREN CENTRAL MICHIGAN CHEBOYGAN MI $218K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $180K
MCLAREN CENTRAL MICHIGAN GAYLORD MI $177K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $168K
MCLAREN CENTRAL MICHIGAN SAINT HELEN MI $148K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $141K
MCLAREN CENTRAL MICHIGAN MIO MI $129K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $101K
MCLAREN CENTRAL MICHIGAN MT PLEASANT MI $96K
MCLAREN CENTRAL MICHIGAN BROWN CITY MI $71K
MCLAREN CENTRAL MICHIGAN ALGER MI $69K
MCLAREN CENTRAL MICHIGAN PETOSKEY MI $68K
MCLAREN CENTRAL MICHIGAN CLARE MI $65K
MCLAREN CENTRAL MICHIGAN BAD AXE MI $61K
MCLAREN CENTRAL MICHIGAN STANDISH MI $61K
MCLAREN CENTRAL MICHIGAN OKEMOS MI $56K
MCLAREN CENTRAL MICHIGAN ROSE CITY MI $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,323 $427K
2019 8,005 $343K
2020 14,900 $581K
2021 15,771 $581K
2022 9,085 $342K
2023 8,405 $314K
2024 5,520 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,393 10,583 $559K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,329 12,302 $445K
99232 Subsequent hospital care, per day, moderate complexity 5,588 2,158 $212K
99058 3,071 2,918 $196K
99223 Prolong inpt eval add15 m 1,994 1,705 $187K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,237 4,203 $160K
99233 Prolong inpt eval add15 m 2,581 1,116 $132K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,440 1,411 $114K
99222 Initial hospital care, per day, moderate complexity 1,452 1,296 $102K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,995 1,946 $102K
45380 Colonoscopy, flexible; with biopsy, single or multiple 893 890 $82K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,125 1,121 $69K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 497 495 $68K
99239 Hospital discharge day management, more than 30 minutes 1,228 1,169 $66K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,531 7,238 $38K
99221 564 518 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 313 311 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 597 594 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 756 708 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 339 337 $13K
93458 77 77 $12K
99215 Prolong outpt/office vis 174 159 $11K
99205 Prolong outpt/office vis 81 81 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 115 115 $8K
93016 542 541 $6K
93018 812 812 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 174 166 $5K
90686 342 334 $5K
93298 379 378 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 44 $5K
93000 541 539 $4K
99217 110 102 $4K
99220 39 37 $4K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 14 14 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 339 337 $3K
93228 241 241 $3K
99000 369 351 $3K
36415 Collection of venous blood by venipuncture 1,526 1,435 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 177 110 $3K
99238 Hospital discharge day management, 30 minutes or less 63 63 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 339 301 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 449 394 $2K
93227 177 177 $2K
94060 296 293 $2K
94729 274 272 $1K
93308 83 77 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 90 87 $878.47
99442 74 73 $864.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 71 69 $812.66
43235 13 13 $784.54
99460 15 15 $773.50
99152 94 89 $579.28
71046 Radiologic examination, chest; 2 views 43 42 $579.01
93880 27 27 $491.08
20610 15 12 $377.94
81003 215 204 $368.78
83036 Hemoglobin; glycosylated (A1C) 56 56 $330.34
93971 25 24 $293.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 102 87 $285.47
93295 13 13 $271.40
93325 127 121 $221.92
93294 12 12 $188.98
81001 44 40 $95.94
94726 13 13 $90.09
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 20 19 $74.81
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19 19 $52.08
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 167 162 $19.42
81002 16 16 $16.96
G0008 Administration of influenza virus vaccine 12 12 $13.76
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $12.57
98966 13 13 $8.94
T1015 Clinic visit/encounter, all-inclusive 712 649 $0.01
0240U 85 84 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 96 92 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33 33 $0.00
G0444 Annual depression screening, 5 to 15 minutes 75 74 $0.00