Munson Healthcare Otsego Memorial Hospital
Munson Healthcare Otsego Memorial Hospital was paid $1.31M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 30% of everything it billed.
GAYLORD, MI 49735
Next to other Orthopaedic Surgery Physician providers in Michigan
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,647 | $254K | |
| 2019 | 5,545 | $260K | |
| 2020 | 4,065 | $140K | |
| 2021 | 4,895 | $209K | |
| 2022 | 4,098 | $177K | |
| 2023 | 3,169 | $155K | |
| 2024incomplete | 1,750 | $113K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 30% | 523 | 521 | $393K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 3,870 | 3,472 | $204K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,670 | 4,421 | $180K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 2,091 | 2,081 | $115K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 4.6% | 842 | 836 | $60K |
| 59025 | Fetal non-stress test | 4.5% | 3,431 | 1,680 | $59K |
| 20610 | 4.3% | 1,969 | 1,581 | $56K | |
| 99460 | 3.2% | 779 | 776 | $41K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.5% | 836 | 831 | $33K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 407 | 407 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 534 | 217 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 2,153 | 1,928 | $18K |
41 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 472 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,631 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 233 | $12K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 812 | $8K |
| 81025 | <1% | 1,124 | $7K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,029 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 106 | $4K |
| 99219 | <1% | 52 | $3K | |
| 73564 | <1% | 126 | $3K | |
| 54150 | <1% | 58 | $3K | |
| 90686 | <1% | 496 | $3K | |
| 90688 | <1% | 180 | $2K | |
| 90715 | <1% | 72 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $1K |
| 73030 | <1% | 91 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 33 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 191 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 73110 | <1% | 56 | $1K | |
| 73502 | <1% | 63 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 97 | $1K |
| 99243 | <1% | 16 | $1K | |
| 0011A | <1% | 28 | $698.41 | |
| 73610 | <1% | 40 | $673.95 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 28 | $653.10 |
| 0012A | <1% | 18 | $567.75 | |
| 73562 | <1% | 24 | $509.60 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $470.52 |
| 99462 | <1% | 20 | $447.83 | |
| 73560 | <1% | 26 | $389.17 | |
| 73565 | <1% | 16 | $329.68 | |
| 73130 | <1% | 12 | $213.96 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 16 | $213.62 |
| 93016 | <1% | 14 | $163.49 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 15 | $114.16 |
| 93018 | <1% | 14 | $108.99 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 60 | $94.97 |
| 98966 | <1% | 704 | $0.51 | |
| 98967 | <1% | 21 | $0.02 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 13 | $0.00 |
| 90685 | 0% | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.