Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER TAWAS

NPI: 1730177528 · HALE, MI 48739 · Rural Health Clinic/Center · NPI assigned 10/06/2005

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

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

$620K
Total Medicaid Paid
22,407
Total Claims
21,086
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date10/06/2005

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 1,483 $44K
2019 1,265 $33K
2020 3,507 $88K
2021 3,795 $115K
2022 4,204 $122K
2023 4,214 $122K
2024 3,939 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,782 10,878 $457K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,485 5,210 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,936 2,823 $66K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 410 408 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 200 194 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 464 460 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 56 55 $1K
90686 54 54 $546.05
90674 12 12 $280.52
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 24 $278.11
90688 18 16 $172.53
90472 Immunization administration, each additional vaccine (list separately) 26 26 $103.00
90460 Immunization administration through 18 years of age via any route, first or only component 17 16 $7.00
3074F 359 354 $0.00
3079F 139 134 $0.00
3008F 96 96 $0.00
3075F 12 12 $0.00
3080F 12 12 $0.00
3078F 239 236 $0.00
3077F 42 42 $0.00
90461 12 12 $0.00
1159F 12 12 $0.00