Agency
Mclaren Health Management Group
Mclaren Health Management Group was paid $720K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is S9500, Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem — 55% of everything it billed.
33Billing provider infoMCLAREN HEALTH MANAGEMENT GROUP
DAVISON, MI 48423
DAVISON, MI 48423
33aNPI1720112535assigned 03/15/2007
33bProvider typeHome Infusion Agency
28Total paid$720K
24GClaims7,304
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Home Infusion Agency providers in Michigan
Rank by total paid#4 of 9
Median peer was paid$651K
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 LOY, STEVEN 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 | 629 | $80K | |
| 2019 | 795 | $96K | |
| 2020 | 1,064 | $94K | |
| 2021 | 1,678 | $109K | |
| 2022 | 1,463 | $120K | |
| 2023 | 973 | $136K | |
| 2024incomplete | 702 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9500 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 55% | 3,215 | 1,108 | $395K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 14% | 738 | 289 | $102K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 8.2% | 275 | 245 | $59K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 7.2% | 935 | 790 | $52K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.4% | 356 | 186 | $39K |
| J3370 | Injection, vancomycin hcl, 500 mg | 4.7% | 935 | 153 | $34K |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.5% | 182 | 62 | $18K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.6% | 208 | 170 | $11K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.2% | 351 | 153 | $8K |
| 99601 | <1% | 29 | 24 | $2K | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 65 | 63 | $66.40 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | <1% | 15 | 15 | $13.16 |
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 officialLOY, STEVEN (VP - CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Health Management Group | Clinton Twp, MI | $3.60M |
| Mclaren Health Management Group | Davison, MI | $2.53M |
| Mclaren Health Management Group | Bay City, MI | $1.86M |
| Mclaren Health Management Group | Flint, MI | $1.75M |
| Mclaren Health Management Group | Davison, MI | $1.61M |
| Mclaren Health Management Group | Cheboygan, MI | $1.58M |
| Mclaren Health Management Group | Lansing, MI | $1.52M |
| Mclaren Health Management Group | Mt Pleasant, MI | $840K |
| Mclaren Health Management Group | Davison, MI | $63K |
| Mclaren Health Management Group | Port Huron, MI | $56K |
| Mclaren Health Management Group | Fenton, MI | $48K |
| Mclaren Health Management Group | Davison, MI | $34K |
| Mclaren Health Management Group | Bad Axe, MI | $13K |
| Mclaren Health Management Group | Petoskey, MI | $8K |
| Mclaren Health Management Group | Lansing, MI | $7K |
| Mclaren Health Management Group | Mount Pleasant, MI | $5K |
| Mclaren Health Management Group | Petoskey, MI | $4K |
| Mclaren Health Management Group | Midland, MI | $3K |
| Mclaren Health Management Group | Davison, MI | $3K |
| Mclaren Health Management Group | Okemos, MI | $715.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.