Clinic
Munson Healthcare Manistee Hospital
Munson Healthcare Manistee Hospital was paid $333K by Medicaid between Jan 2018 and Jun 2019, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoMUNSON HEALTHCARE MANISTEE HOSPITAL
MANISTEE, MI 49660
MANISTEE, MI 49660
33aNPI1881021095assigned 10/02/2013
33bProvider typeRural Health Clinic/Center
28Total paid$333K
24GClaims12,138
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#107 of 193
Median peer was paid$426K
This provider vs. median0.8×
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.
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 | 8,746 | $241K | |
| 2019 | 3,392 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 5,429 | 4,532 | $316K |
| 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 | 2.8% | 2,797 | 2,558 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 323 | 245 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,147 | 1,084 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 284 | 246 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 103 | 101 | $988.79 |
| 90686 | <1% | 282 | 281 | $342.71 | |
| 90620 | <1% | 13 | 13 | $169.60 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 45 | 44 | $162.68 |
| 36415 | Collection of venous blood by venipuncture | <1% | 986 | 960 | $149.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 311 | 306 | $147.23 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | 48 | $49.01 |
9 more codes
| 99406 | <1% | 109 | $32.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $21.01 |
| 81002 | <1% | 57 | $9.77 | |
| 81025 | <1% | 19 | $7.13 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $0.02 |
| 4037F | 0% | 14 | $0.00 | |
| 98967 | 0% | 16 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 93 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 32 | $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 officialHEPLER, MARK (CFO)
Parent organizationMUNSON HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Munson Medical Group | Traverse City, MI | $26K |
| Munson Medical Center | Petoskey, MI | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.