Physician
Mclaren Central Michigan
Mclaren Central Michigan was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoMCLAREN CENTRAL MICHIGAN
MOUNT PLEASANT, MI 48858
MOUNT PLEASANT, MI 48858
33aNPI1710235775assigned 08/23/2012
33bProvider typeFamily Medicine Physician
28Total paid$2.76M
24GClaims72,009
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#39 of 826
Median peer was paid$98K
This provider vs. median28×
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 SOULES, TARA 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 | 10,323 | $427K | |
| 2019 | 8,005 | $343K | |
| 2020 | 14,900 | $581K | |
| 2021 | 15,771 | $581K | |
| 2022 | 9,085 | $342K | |
| 2023 | 8,405 | $314K | |
| 2024incomplete | 5,520 | $175K |
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 | 20% | 11,393 | 10,583 | $559K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 13,329 | 12,302 | $445K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.7% | 5,588 | 2,158 | $212K |
| 99058 | 7.1% | 3,071 | 2,918 | $196K | |
| 99223 | Prolong inpt eval add15 m | 6.8% | 1,994 | 1,705 | $187K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.8% | 4,237 | 4,203 | $160K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 2,581 | 1,116 | $132K |
| 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 | 4.1% | 1,440 | 1,411 | $114K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 1,452 | 1,296 | $102K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 1,995 | 1,946 | $102K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.0% | 893 | 890 | $82K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.5% | 1,125 | 1,121 | $69K |
64 more codes
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.5% | 497 | $68K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.4% | 1,228 | $66K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 8,531 | $38K |
| 99221 | 1.0% | 564 | $28K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 313 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 597 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 756 | $16K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 339 | $13K |
| 93458 | <1% | 77 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 174 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 81 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 115 | $8K |
| 93016 | <1% | 542 | $6K | |
| 93018 | <1% | 812 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 174 | $5K |
| 90686 | <1% | 342 | $5K | |
| 93298 | <1% | 379 | $5K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 44 | $5K |
| 93000 | <1% | 541 | $4K | |
| 99217 | <1% | 110 | $4K | |
| 99220 | <1% | 39 | $4K | |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 14 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 339 | $3K |
| 93228 | <1% | 241 | $3K | |
| 99000 | <1% | 369 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,526 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 177 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 63 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 339 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 449 | $2K |
| 93227 | <1% | 177 | $2K | |
| 94060 | <1% | 296 | $2K | |
| 94729 | <1% | 274 | $1K | |
| 93308 | <1% | 83 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 90 | $878.47 |
| 99442 | <1% | 74 | $864.99 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $812.66 |
| 43235 | <1% | 13 | $784.54 | |
| 99460 | <1% | 15 | $773.50 | |
| 99152 | <1% | 94 | $579.28 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $579.01 |
| 93880 | <1% | 27 | $491.08 | |
| 20610 | <1% | 15 | $377.94 | |
| 81003 | <1% | 215 | $368.78 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 56 | $330.34 |
| 93971 | <1% | 25 | $293.78 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 102 | $285.47 |
| 93295 | <1% | 13 | $271.40 | |
| 93325 | <1% | 127 | $221.92 | |
| 93294 | <1% | 12 | $188.98 | |
| 81001 | <1% | 44 | $95.94 | |
| 94726 | <1% | 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 | <1% | 20 | $74.81 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 19 | $52.08 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 167 | $19.42 |
| 81002 | <1% | 16 | $16.96 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $13.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $12.57 |
| 98966 | <1% | 13 | $8.94 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 712 | $0.01 |
| 0240U | 0% | 85 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 96 | $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 | 0% | 33 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 75 | $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 officialSOULES, TARA (VP/CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.