Medicaid Provider Spending

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

MYMICHIGAN MEDICAL GROUP

NPI: 1740230127 · MIDLAND, MI 48670 · Family Medicine Physician · NPI assigned 05/10/2006

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

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

$1.97M
Total Medicaid Paid
49,192
Total Claims
42,865
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/10/2006

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 CENTER SAULT SAULT SAINTE MARIE MI $1.62M
MYMICHIGAN MEDICAL CENTER SAGINAW VASSAR MI $1.09M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $967K
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,852 $402K
2019 7,245 $262K
2020 7,422 $254K
2021 7,978 $367K
2022 4,853 $208K
2023 5,945 $245K
2024 4,897 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,372 11,478 $617K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,897 7,444 $580K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,047 3,010 $192K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,909 3,472 $128K
99215 Prolong outpt/office vis 785 752 $68K
99308 Subsequent nursing facility care, per day, straightforward 3,245 2,392 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 469 466 $51K
99349 996 901 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,480 2,355 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 651 644 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,780 1,091 $25K
99336 911 749 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 547 540 $21K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 176 173 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 119 119 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,059 1,029 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 266 263 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 267 259 $8K
90686 581 573 $8K
99335 356 293 $6K
36415 Collection of venous blood by venipuncture 2,542 2,343 $6K
99350 Prolong home eval add 15m 96 87 $6K
90834 Psychotherapy, 45 minutes with patient 71 56 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 43 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 379 337 $4K
99497 108 104 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 39 35 $3K
99348 86 75 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 64 38 $2K
90832 Psychotherapy, 30 minutes with patient 52 40 $2K
90472 Immunization administration, each additional vaccine (list separately) 127 121 $2K
99205 Prolong outpt/office vis 15 15 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
81002 849 811 $2K
0012A 40 40 $2K
0011A 39 39 $1K
83036 Hemoglobin; glycosylated (A1C) 181 180 $1K
99307 96 82 $1K
81025 57 56 $313.63
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 52 51 $231.36
99442 17 16 $194.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 12 $148.63
J1885 Injection, ketorolac tromethamine, per 15 mg 45 40 $57.73
G0008 Administration of influenza virus vaccine 37 33 $0.00
1111F 163 144 $0.00
91301 52 51 $0.00