Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAULT

NPI: 1720145303 · SAULT SAINTE MARIE, MI 49783 · Rural Health Clinic/Center · NPI assigned 01/02/2007

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

Authorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more

$3.91M
Total Medicaid Paid
88,254
Total Claims
78,260
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER SAULT
NPI Enumeration Date01/02/2007

Related Entities

Other providers sharing the same authorized official: JAMES, SARAH

ProviderCityStateTotal Paid
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $50.05M
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $38.70M
MYMICHIGAN MEDICAL CENTER ALMA ALMA MI $25.31M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $24.37M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $21.24M
MYMICHIGAN MEDICAL CENTER CLARE CLARE MI $17.66M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $13.47M
MYMICHIGAN MEDICAL CENTER GLADWIN GLADWIN MI $10.43M
MYMICHIGAN MEDICAL CENTER TAWAS TAWAS CITY MI $9.11M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $8.12M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $7.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $5.09M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $3.78M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $2.89M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $2.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $2.08M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $1.97M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $1.62M
MYMICHIGAN MEDICAL CENTER SAGINAW VASSAR MI $1.09M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $967K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,968 $471K
2019 7,915 $340K
2020 7,044 $274K
2021 11,331 $462K
2022 17,288 $806K
2023 18,117 $976K
2024 13,591 $584K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 39,151 33,840 $3.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,136 18,718 $395K
59426 175 174 $227K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,533 7,250 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,120 2,010 $63K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,155 1,152 $45K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,001 976 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,547 1,520 $9K
59430 48 48 $8K
81025 2,086 2,019 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 161 152 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 97 97 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,803 1,707 $5K
80305 5,931 4,403 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 436 404 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 585 576 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 329 324 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 39 39 $2K
81002 1,329 1,306 $2K
90472 Immunization administration, each additional vaccine (list separately) 139 137 $1K
90686 110 110 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 24 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 58 58 $1K
90715 26 26 $930.88
58300 24 24 $591.93
99000 44 44 $549.74
90656 18 18 $355.40
J1885 Injection, ketorolac tromethamine, per 15 mg 58 56 $107.79
90647 31 31 $0.00
90723 13 12 $0.00
90474 13 12 $0.00
90680 40 39 $0.00
82075 53 48 $0.00
59899 145 138 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 229 226 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 64 $0.00
90461 163 161 $0.00
99215 Prolong outpt/office vis 62 58 $0.00
90670 176 175 $0.00
90685 45 44 $0.00
90633 40 40 $0.00