Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER SAGINAW

NPI: 1811097876 · SAGINAW, MI 48638 · Pediatrics Physician · NPI assigned 09/22/2006

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

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

$598K
Total Medicaid Paid
17,663
Total Claims
17,091
Beneficiaries
26
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
NPI Enumeration Date09/22/2006

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 3,844 $128K
2019 3,658 $115K
2020 3,121 $91K
2021 2,941 $100K
2022 2,782 $106K
2023 1,317 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,275 3,903 $245K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,242 1,228 $98K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 956 954 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,034 972 $69K
90460 Immunization administration through 18 years of age via any route, first or only component 2,515 2,497 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 515 513 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 242 236 $8K
81002 1,560 1,520 $4K
96127 905 899 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 245 243 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 178 $2K
D0190 93 93 $1K
85018 584 566 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $1K
81003 464 459 $837.97
99188 94 94 $651.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 46 42 $565.86
90686 633 633 $19.58
90723 78 78 $0.00
90680 54 54 $0.00
90647 91 91 $0.00
90461 1,397 1,380 $0.00
90670 384 383 $0.00
90633 25 25 $0.00
90710 24 24 $0.00
90734 12 12 $0.00