Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Saginaw › NPI 1871507509
Hospital

Mymichigan Medical Center Saginaw

Mymichigan Medical Center Saginaw was paid $38.70M by Medicaid between Jan 2018 and Dec 2024, across 340 billing codes. Its largest line is 99285, emergency room visit (most serious) — 18% of everything it billed.

33Billing provider infoMYMICHIGAN MEDICAL CENTER SAGINAW
SAGINAW, MI 48601
33aNPI1871507509assigned 07/28/2006
28Total paid$38.70M
24GClaims1,296,501
24DCodes billed340
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Michigan

Rank by total paid#33 of 86
Median peer was paid$21.55M
This provider vs. median1.8×

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.

Entity ProliferationAuthorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018195,327$5.66M
2019200,552$5.40M
2020162,267$4.34M
2021189,463$5.97M
2022207,601$6.21M
2023199,085$6.08M
2024incomplete142,206$5.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 18% 21,807 20,285 $7.12M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 40,014 37,348 $6.87M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 42,718 40,743 $5.11M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 11% 72,436 4,226 $4.22M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.6% 25,858 23,390 $2.16M
T1005 Respite care services, up to 15 minutes 3.7% 67,938 2,318 $1.43M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.9% 5,617 5,438 $719K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 3,267 3,232 $558K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.4% 18,360 4,903 $556K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.4% 25,962 6,580 $549K
96361 Intravenous infusion, hydration; each additional hour 1.4% 16,275 14,059 $528K
96375 Therapeutic injection; each additional sequential IV push 1.3% 19,337 16,218 $486K
328 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.1% 6,399 $440K
71045 Radiologic examination, chest; single view 1.1% 13,235 $439K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.1% 2,619 $424K
70450 Computed tomography, head or brain; without contrast material 1.1% 5,733 $423K
G0378 Hospital observation service, per hour 1.1% 5,484 $421K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 998 $368K
71046 Radiologic examination, chest; 2 views <1% 10,841 $328K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 9,484 $321K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,283 $286K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,773 $257K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,802 $254K
80061 Lipid panel <1% 7,848 $241K
94060 <1% 1,774 $216K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,233 $188K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,141 $169K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 3,758 $159K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 11,935 $153K
97163 <1% 2,760 $148K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,393 $138K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,392 $131K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,369 $124K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,592 $119K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 596 $113K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,394 $107K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,455 $105K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,580 $105K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 221 $99K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 170 $88K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 151 $83K
95911 <1% 374 $83K
93971 <1% 1,712 $79K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,029 $65K
76830 Ultrasound, transvaginal <1% 1,161 $64K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 571 $64K
72131 <1% 1,866 $61K
80053 Comprehensive metabolic panel <1% 49,135 $55K
93017 <1% 1,988 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,809 $53K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,767 $52K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 643 $51K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 987 $49K
72141 <1% 450 $49K
72125 Computed tomography, cervical spine; without contrast material <1% 2,594 $40K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,804 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 58,648 $37K
84443 Thyroid stimulating hormone (TSH) <1% 11,086 $37K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,117 $33K
76881 <1% 583 $32K
73564 <1% 2,526 $31K
72110 <1% 1,141 $29K
97535 Self-care/home management training, each 15 minutes <1% 1,584 $26K
70496 <1% 282 $26K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,158 $25K
72100 <1% 1,269 $25K
95910 <1% 201 $24K
74018 <1% 2,424 $24K
76000 <1% 590 $23K
95909 <1% 171 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,841 $21K
76642 <1% 516 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17,310 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 20,515 $19K
95806 <1% 230 $18K
10060 <1% 254 $18K
76536 <1% 379 $18K
73030 <1% 2,520 $17K
36415 Collection of venous blood by venipuncture <1% 27,066 $17K
73630 <1% 2,828 $17K
97167 <1% 388 $17K
73130 <1% 2,558 $16K
93458 <1% 19 $16K
83036 Hemoglobin; glycosylated (A1C) <1% 5,234 $15K
80048 Basic metabolic panel (calcium, ionized) <1% 12,729 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 45 $15K
93351 <1% 88 $15K
93225 <1% 382 $14K
95819 <1% 134 $14K
71271 <1% 276 $13K
71250 <1% 245 $12K
86900 <1% 3,634 $12K
97162 <1% 285 $12K
99406 <1% 1,184 $11K
76775 <1% 432 $11K
82607 <1% 2,294 $10K
88304 <1% 1,325 $10K
97161 <1% 252 $10K
86780 <1% 212 $9K
97116 <1% 1,227 $9K
84439 <1% 6,303 $9K
73610 <1% 2,386 $9K
70486 <1% 433 $8K
82728 <1% 1,490 $7K
97803 <1% 993 $6K
96367 <1% 278 $6K
82746 <1% 1,453 $6K
93970 <1% 76 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 4,977 $6K
73502 <1% 979 $6K
72050 <1% 142 $6K
73110 <1% 1,336 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 102 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 417 $5K
88342 <1% 244 $5K
93226 <1% 494 $5K
70551 Magnetic resonance imaging, brain; without contrast material <1% 53 $5K
29540 <1% 91 $5K
83970 <1% 275 $5K
83550 <1% 1,413 $5K
93880 <1% 59 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 14,285 $4K
95811 <1% 12 $4K
73221 <1% 37 $4K
72128 <1% 310 $4K
94726 <1% 1,738 $4K
74022 <1% 4,242 $4K
76801 <1% 78 $4K
83735 <1% 19,291 $4K
83540 <1% 1,550 $4K
86140 <1% 9,757 $4K
85610 <1% 11,986 $3K
97597 <1% 42 $3K
88307 <1% 70 $3K
96415 <1% 68 $3K
97602 <1% 34 $3K
83880 <1% 3,277 $3K
80306 <1% 5,899 $2K
86850 <1% 3,167 $2K
87070 <1% 3,136 $2K
29515 <1% 32 $2K
87077 <1% 1,316 $2K
77065 Tomosynthesis, mammo <1% 45 $2K
85027 <1% 1,793 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,517 $2K
82043 <1% 715 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,754 $1K
73080 <1% 392 $1K
87186 <1% 2,944 $1K
84702 <1% 1,580 $1K
84153 <1% 194 $1K
72040 <1% 45 $1K
82550 <1% 10,845 $1K
64400 <1% 13 $1K
85652 <1% 3,547 $1K
73590 <1% 423 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 106 $1K
83690 <1% 17,881 $1K
83013 <1% 40 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,972 $1K
72170 <1% 910 $1K
70498 <1% 307 $1K
84100 <1% 6,525 $1K
86480 <1% 55 $1K
74019 <1% 165 $1K
94618 <1% 189 $1K
85730 <1% 8,367 $1K
81003 <1% 22,790 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 115 $1K
87420 <1% 636 $1K
80076 <1% 783 $1K
97760 <1% 29 $986.20
82570 <1% 496 $954.75
87205 <1% 1,528 $951.40
73140 <1% 328 $934.55
86039 <1% 231 $933.36
87088 <1% 2,592 $930.11
86901 <1% 3,628 $929.00
73700 <1% 16 $910.70
93308 <1% 12 $844.94
85007 <1% 1,688 $837.66
84703 <1% 6,747 $814.47
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 33 $808.36
73562 <1% 165 $777.51
81001 <1% 8,611 $771.24
80074 <1% 38 $753.69
72072 <1% 38 $739.14
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 49 $728.97
84484 <1% 15,726 $716.77
76870 <1% 40 $709.92
81025 <1% 15,889 $680.52
82962 <1% 8,619 $654.89
86038 <1% 168 $652.90
76882 <1% 17 $623.45
82565 <1% 362 $620.52
86235 <1% 61 $612.19
87631 <1% 501 $571.16
82553 <1% 4,356 $566.73
83516 <1% 109 $534.74
83605 <1% 13,273 $525.09
73090 <1% 312 $392.37
84436 <1% 138 $391.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,257 $383.03
82330 <1% 827 $381.03
82150 <1% 1,404 $355.52
73560 <1% 153 $338.76
73120 <1% 23 $338.58
84460 <1% 204 $323.45
83615 <1% 408 $319.89
84450 <1% 203 $314.88
84425 <1% 53 $311.49
86803 <1% 51 $311.01
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,754 $297.22
85379 <1% 3,132 $287.82
87040 <1% 2,170 $260.10
86431 <1% 139 $253.10
84520 <1% 168 $241.14
87634 <1% 1,323 $203.57
71101 <1% 13 $195.15
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 190 $190.46
84550 <1% 153 $187.44
Q9957 Injection, perflutren lipid microspheres, per ml <1% 334 $168.74
86200 <1% 40 $162.32
84146 <1% 61 $156.76
87210 <1% 4,376 $149.54
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 24 $114.46
97804 <1% 28 $112.00
82274 <1% 103 $110.72
86160 <1% 25 $99.85
87340 <1% 24 $97.13
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 18,343 $96.17
A9270 Non-covered item or service <1% 46,137 $91.66
J7030 Infusion, normal saline solution , 1000 cc <1% 26,771 $88.17
99407 <1% 13 $67.68
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 19 $66.47
93320 <1% 148 $66.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,588 $60.00
82800 <1% 794 $57.79
29125 <1% 61 $54.30
86308 <1% 334 $53.21
93325 <1% 149 $49.13
73600 <1% 16 $48.33
73620 <1% 36 $48.33
86256 <1% 12 $46.01
84132 <1% 54 $45.87
82378 <1% 14 $45.74
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 18 $39.60
87481 <1% 18 $39.60
84480 <1% 13 $30.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,805 $25.79
85018 <1% 174 $24.97
85014 <1% 188 $24.97
82010 <1% 876 $19.26
J1170 Injection, hydromorphone, up to 4 mg <1% 5,971 $18.00
85044 <1% 13 $15.35
82248 <1% 15 $12.30
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,042 $10.20
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,509 $9.73
J1644 Injection, heparin sodium, per 1000 units <1% 3,624 $8.93
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 58 $1.04
J8597 Antiemetic drug, oral, not otherwise specified <1% 13 $0.29
J0360 Injection, hydralazine hcl, up to 20 mg 0% 66 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 2,281 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 3,071 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 1,830 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 4,539 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 6,186 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 2,090 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 436 $0.00
96376 0% 6,788 $0.00
A4648 Tissue marker, implantable, any type, each 0% 13 $0.00
97010 0% 5,238 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 777 $0.00
95886 0% 2,313 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 2,218 $0.00
94200 0% 90 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 6,692 $0.00
J2060 Injection, lorazepam, 2 mg 0% 1,979 $0.00
C1769 Guide wire 0% 1,639 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 881 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 824 $0.00
J2704 Injection, propofol, 10 mg 0% 5,384 $0.00
94760 0% 1,376 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 113 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 318 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 99 $0.00
J1815 Injection, insulin, per 5 units 0% 320 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 163 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 351 $0.00
J3490 Unclassified drugs 0% 2,118 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 163 $0.00
12001 0% 192 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 339 $0.00
81015 0% 77 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 281 $0.00
82803 0% 25 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 12 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 67 $0.00
0399T 0% 13 $0.00
J0280 Injection, aminophyllin, up to 250 mg 0% 53 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 17 $0.00
J0456 Injection, azithromycin, 500 mg 0% 27 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 88 $0.00
12002 0% 40 $0.00
76377 0% 12 $0.00
96368 0% 15 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 31 $0.00
29130 0% 14 $0.00
84145 0% 307 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 3,884 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 555 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 5,443 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 1,783 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 3,856 $0.00
J1245 Injection, dipyridamole, per 10 mg 0% 347 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 1,231 $0.00
94729 0% 1,839 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 41 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 252 $0.00
93356 0% 1,169 $0.00
A9575 Injection, gadoterate meglumine, 0.1 ml 0% 671 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 2,688 $0.00
90715 0% 1,703 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 917 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 1,266 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 131 $0.00
29530 0% 77 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 535 $0.00
J7510 Prednisolone oral, per 5 mg 0% 169 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 27 $0.00
S0028 Injection, famotidine, 20 mg 0% 161 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 174 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 106 $0.00
29260 0% 35 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 20 $0.00
85384 0% 25 $0.00
12011 0% 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 71 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 21 $0.00
84207 0% 15 $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.

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Authorized officialJAMES, SARAH (MANAGER PATIENT ACCOUNTING)
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