Physician
Mckenzie Memorial Hospital
Mckenzie Memorial Hospital was paid $2.69M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoMCKENZIE MEMORIAL HOSPITAL
SANDUSKY, MI 48471
SANDUSKY, MI 48471
33aNPI1831443761assigned 10/30/2012
33bProvider typeInternal Medicine Physician
28Total paid$2.69M
24GClaims211,570
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#43 of 816
Median peer was paid$70K
This provider vs. median38×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,104 | $342K | |
| 2019 | 26,674 | $380K | |
| 2020 | 29,969 | $347K | |
| 2021 | 31,030 | $459K | |
| 2022 | 30,670 | $392K | |
| 2023 | 34,948 | $427K | |
| 2024incomplete | 34,175 | $346K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 13,074 | 11,995 | $999K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 17,035 | 15,379 | $881K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.5% | 1,886 | 1,871 | $176K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.6% | 1,745 | 1,732 | $150K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 1,269 | 1,256 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 780 | 777 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 778 | 776 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 494 | 494 | $41K |
| 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 | 1.0% | 294 | 292 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,582 | 2,551 | $24K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,937 | 1,865 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 336 | 328 | $21K |
74 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 4,854 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,027 | $15K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 311 | $14K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 279 | $13K |
| 87428 | <1% | 271 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 95 | $11K |
| 90686 | <1% | 870 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,235 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 658 | $8K |
| 99406 | <1% | 979 | $7K | |
| 81002 | <1% | 2,152 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 395 | $5K |
| 87430 | <1% | 331 | $4K | |
| 90670 | <1% | 146 | $4K | |
| 99442 | <1% | 135 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 115 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 182 | $3K |
| 96127 | <1% | 1,211 | $3K | |
| 90674 | <1% | 83 | $1K | |
| 90756 | <1% | 61 | $1K | |
| 0011A | <1% | 27 | $984.10 | |
| 0012A | <1% | 24 | $908.40 | |
| 99051 | <1% | 1,770 | $890.00 | |
| 90656 | <1% | 41 | $760.55 | |
| 93000 | <1% | 60 | $561.09 | |
| 99441 | <1% | 13 | $390.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $344.01 |
| 90688 | <1% | 34 | $325.89 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 29 | $266.80 |
| 92567 | <1% | 27 | $232.44 | |
| 87400 | <1% | 36 | $210.60 | |
| 87420 | <1% | 12 | $115.03 | |
| 96160 | <1% | 111 | $111.54 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $59.67 |
| 3074F | <1% | 21,469 | $37.91 | |
| 3078F | <1% | 18,696 | $29.13 | |
| 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) | <1% | 245 | $20.48 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 19,604 | $17.92 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 4,831 | $17.89 |
| 3008F | <1% | 22,150 | $14.40 | |
| 4037F | <1% | 2,647 | $14.05 | |
| 3079F | <1% | 5,458 | $12.57 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 7,842 | $11.92 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,227 | $5.98 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 3,986 | $5.96 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 453 | $5.96 |
| 3075F | <1% | 2,451 | $3.28 | |
| 1034F | <1% | 2,873 | $3.24 | |
| 3077F | <1% | 1,456 | $1.93 | |
| 3080F | <1% | 1,274 | $1.66 | |
| 1000F | <1% | 1,135 | $0.30 | |
| 1220F | <1% | 88 | $0.17 | |
| 3725F | <1% | 4,941 | $0.04 | |
| 1036F | <1% | 4,494 | $0.02 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,530 | $0.01 |
| G9395 | Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five | <1% | 103 | $0.01 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 12,415 | $0.01 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 658 | $0.01 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,169 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 319 | $0.00 |
| 1159F | 0% | 2,913 | $0.00 | |
| 4004F | 0% | 1,670 | $0.00 | |
| 1090F | 0% | 97 | $0.00 | |
| 3288F | 0% | 33 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 14 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 30 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 392 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 738 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 118 | $0.00 |
| 1101F | 0% | 29 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 53 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 87 | $0.00 |
| 91301 | 0% | 48 | $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.
From NPPES
Who's on the registration
Authorized officialRUEDISUELI, AMY (V.P. OF FINANCE)
Parent organizationMCKENZIE MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Mckenzie Memorial Hospital | Sandusky, MI | $6.09M |
| Mckenzie Memorial Hospital | Sandusky, MI | $940K |
| Mckenzie Memorial Hospital | Sandusky, MI | $135K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.