MCLAREN BAY REGION

NPI: 1780722785 · ESSEXVILLE, MI 48732 · Internal Medicine Physician · NPI assigned 02/02/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKS PORTER, DANIELLE controls 11+ related entities in our dataset. Read more

$288K

Total Medicaid Paid

10,082

Total Claims

8,936

Beneficiaries

Codes Billed

2018-01

First Month

2021-02

Last Month

Provider Details

Authorized Official	JACKS PORTER, DANIELLE (CFO)
NPI Enumeration Date	02/02/2007

Other providers sharing the same authorized official: JACKS PORTER, DANIELLE

Provider	City	State	Total Paid
MCLAREN BAY REGION	BAY CITY	MI	$31.72M
MCLAREN BAY REGION	BAY CITY	MI	$9.34M
MCLAREN BAY REGION	BAY CITY	MI	$937K
MCLAREN PRIMARY CARE	WEST BRANCH	MI	$250K
MCLAREN PRIMARY CARE	SAINT HELEN	MI	$115K
MCLAREN BAY REGION	SAGINAW	MI	$101K
MCLAREN PRIMARY CARE	ALGER	MI	$99K
MCLAREN PRIMARY CARE	MIO	MI	$67K
MCLAREN PRIMARY CARE	ROSE CITY	MI	$42K
MCLAREN BAY REGION	BAY CITY	MI	$40K
MCLAREN PRIMARY CARE	WEST BRANCH	MI	$14K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,114	2,003	$104K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,266	2,149	$74K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	690	596	$30K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	350	345	$27K
27096		215	174	$13K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2,762	2,339	$11K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	129	124	$7K
99232	Subsequent hospital care, per day, moderate complexity	138	27	$5K
76942		174	132	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	597	420	$3K
93458		14	14	$2K
93016		183	176	$2K
93000		174	170	$1K
93018		181	175	$1K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	24	24	$934.86
99222	Initial hospital care, per day, moderate complexity	17	15	$919.17
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	26	26	$617.45
99406		15	15	$118.34
99152		13	12	$71.58