Clinic
Munson Healthcare Cadillac
Munson Healthcare Cadillac was paid $3.67M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoMUNSON HEALTHCARE CADILLAC
CADILLAC, MI 49601
CADILLAC, MI 49601
33aNPI1912303728assigned 11/06/2014
33bProvider typeRural Health Clinic/Center
28Total paid$3.67M
24GClaims109,440
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#10 of 193
Median peer was paid$426K
This provider vs. median8.6×
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 KRUSZKA, BONNIE controls 20+ related entities in our dataset. Read more
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 | 16,648 | $513K | |
| 2019 | 14,283 | $469K | |
| 2020 | 14,054 | $479K | |
| 2021 | 16,093 | $564K | |
| 2022 | 16,313 | $585K | |
| 2023 | 16,269 | $542K | |
| 2024incomplete | 15,780 | $517K |
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 | 71% | 49,445 | 41,469 | $2.61M |
| 59426 | 13% | 547 | 522 | $485K | |
| 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 | 5.0% | 18,870 | 17,538 | $183K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 13,103 | 12,154 | $104K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 1,118 | 1,114 | $49K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 2,360 | 2,352 | $38K |
| 59430 | <1% | 412 | 410 | $31K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,718 | 1,713 | $25K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,214 | 2,241 | $23K |
| 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% | 1,262 | 1,258 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,422 | 2,274 | $22K |
| 59425 | <1% | 33 | 33 | $14K |
39 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,234 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,560 | $8K |
| 90715 | <1% | 288 | $6K | |
| 90686 | <1% | 811 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,396 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 304 | $5K |
| 0001A | <1% | 130 | $5K | |
| 0002A | <1% | 127 | $5K | |
| 99000 | <1% | 96 | $1K | |
| 96127 | <1% | 2,674 | $883.20 | |
| 90656 | <1% | 59 | $828.15 | |
| 99406 | <1% | 426 | $737.73 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $707.97 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 154 | $687.55 |
| 90688 | <1% | 262 | $624.40 | |
| 0004A | <1% | 18 | $529.90 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 47 | $420.41 |
| 90837 | Psychotherapy session, about an hour | <1% | 14 | $389.36 |
| 0003A | <1% | 16 | $302.80 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $274.79 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 78 | $244.32 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 236 | $239.66 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 40 | $233.04 |
| 58300 | <1% | 12 | $95.49 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 45 | $84.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 68 | $23.04 |
| 96160 | <1% | 26 | $1.39 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 354 | $0.00 |
| 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) | 0% | 910 | $0.00 |
| 3078F | 0% | 57 | $0.00 | |
| 2028F | 0% | 64 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 25 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 98966 | 0% | 15 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,069 | $0.00 |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| 3074F | 0% | 75 | $0.00 | |
| 3079F | 0% | 42 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 116 | $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 officialKRUSZKA, BONNIE (COO MUNSON PHYSICIAN NETWORK)
Parent organizationMUNSON HEALTHCARE
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.