Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MYMICHIGAN MEDICAL GROUP

NPI: 1912957390 · MIDLAND, MI 48670 · Pediatrics Physician · NPI assigned 05/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more

$2.08M
Total Medicaid Paid
59,561
Total Claims
57,750
Beneficiaries
48
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: JAMES, SARAH

ProviderCityStateTotal Paid
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $50.05M
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $38.70M
MYMICHIGAN MEDICAL CENTER ALMA ALMA MI $25.31M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $24.37M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $21.24M
MYMICHIGAN MEDICAL CENTER CLARE CLARE MI $17.66M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $13.47M
MYMICHIGAN MEDICAL CENTER GLADWIN GLADWIN MI $10.43M
MYMICHIGAN MEDICAL CENTER TAWAS TAWAS CITY MI $9.11M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $8.12M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $7.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $5.09M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $3.78M
MYMICHIGAN MEDICAL CENTER ALPENA ALPENA MI $2.89M
MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI $2.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $1.97M
MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE MI $1.62M
MYMICHIGAN MEDICAL CENTER SAGINAW VASSAR MI $1.09M
MYMICHIGAN MEDICAL CENTER STANDISH STANDISH MI $967K
MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI $941K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,811 $911K
2019 15,523 $548K
2020 4,318 $154K
2021 4,479 $161K
2022 6,082 $215K
2023 2,348 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,665 8,717 $544K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,489 4,453 $375K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,964 4,830 $353K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,759 2,613 $225K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,979 1,969 $163K
90472 Immunization administration, each additional vaccine (list separately) 5,218 5,167 $84K
99460 1,221 1,208 $70K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,291 8,177 $70K
99238 Hospital discharge day management, 30 minutes or less 1,394 1,364 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 461 455 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,046 2,040 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 808 739 $10K
99462 348 311 $9K
99381 107 105 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 219 217 $8K
90474 1,742 1,725 $7K
99188 812 800 $6K
D0190 339 333 $6K
99215 Prolong outpt/office vis 30 28 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 247 140 $3K
99383 26 26 $2K
96127 383 379 $1K
99382 12 12 $1K
99463 13 13 $886.73
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 17 $853.02
81002 222 218 $586.13
96161 182 178 $291.44
90651 182 182 $230.00
90686 1,178 1,174 $188.37
92551 31 31 $186.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $155.67
90715 13 13 $35.57
85018 14 14 $31.14
90670 2,656 2,641 $0.00
90633 875 872 $0.00
90685 809 807 $0.00
90700 157 157 $0.00
90710 396 395 $0.00
90681 174 174 $0.00
90707 102 102 $0.00
99173 30 29 $0.00
90734 53 53 $0.00
90696 154 154 $0.00
90716 104 104 $0.00
90647 2,028 2,017 $0.00
90723 1,627 1,618 $0.00
90680 957 954 $0.00
90698 12 12 $0.00