Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALMA

NPI: 1801813373 · MOUNT PLEASANT, MI 48858 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 07/17/2006

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

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

$529K
Total Medicaid Paid
11,679
Total Claims
11,344
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN MEDICAL CENTER ALMA
NPI Enumeration Date07/17/2006

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 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 628 $28K
2019 995 $27K
2020 941 $26K
2021 1,386 $55K
2022 1,983 $98K
2023 2,870 $140K
2024 2,876 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,982 3,784 $221K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,846 2,770 $114K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,262 1,253 $102K
95810 Polysomnography; sleep staging with 4 or more additional parameters 477 474 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 441 437 $22K
99215 Prolong outpt/office vis 104 94 $10K
94060 1,064 1,063 $7K
99205 Prolong outpt/office vis 38 38 $4K
94729 718 718 $4K
94726 527 527 $4K
Q3014 Telehealth originating site facility fee 138 134 $4K
99233 Prolong inpt eval add15 m 44 14 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
95251 24 24 $558.34