Physician
Mymichigan Medical Group
Mymichigan Medical Group was paid $2.08M by Medicaid between Jan 2018 and Apr 2023, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL GROUP
MIDLAND, MI 48670
MIDLAND, MI 48670
33aNPI1912957390assigned 05/10/2006
33bProvider typePediatrics Physician
28Total paid$2.08M
24GClaims59,561
24DCodes billed48
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#63 of 349
Median peer was paid$321K
This provider vs. median6.5×
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
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 | 26,811 | $911K | |
| 2019 | 15,523 | $548K | |
| 2020 | 4,318 | $154K | |
| 2021 | 4,479 | $161K | |
| 2022 | 6,082 | $215K | |
| 2023 | 2,348 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 9,665 | 8,717 | $544K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 4,489 | 4,453 | $375K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 4,964 | 4,830 | $353K |
| 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 | 11% | 2,759 | 2,613 | $225K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 1,979 | 1,969 | $163K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.1% | 5,218 | 5,167 | $84K |
| 99460 | 3.4% | 1,221 | 1,208 | $70K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 8,291 | 8,177 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.9% | 1,394 | 1,364 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 461 | 455 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 2,046 | 2,040 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 808 | 739 | $10K |
36 more codes
| 99462 | <1% | 348 | $9K | |
| 99381 | <1% | 107 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 219 | $8K |
| 90474 | <1% | 1,742 | $7K | |
| 99188 | <1% | 812 | $6K | |
| D0190 | <1% | 339 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 247 | $3K |
| 99383 | <1% | 26 | $2K | |
| 96127 | <1% | 383 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 99463 | <1% | 13 | $886.73 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $853.02 |
| 81002 | <1% | 222 | $586.13 | |
| 96161 | <1% | 182 | $291.44 | |
| 90651 | <1% | 182 | $230.00 | |
| 90686 | <1% | 1,178 | $188.37 | |
| 92551 | <1% | 31 | $186.68 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $155.67 |
| 90715 | <1% | 13 | $35.57 | |
| 85018 | <1% | 14 | $31.14 | |
| 90670 | 0% | 2,656 | $0.00 | |
| 90633 | 0% | 875 | $0.00 | |
| 90685 | 0% | 809 | $0.00 | |
| 90700 | 0% | 157 | $0.00 | |
| 90710 | 0% | 396 | $0.00 | |
| 90681 | 0% | 174 | $0.00 | |
| 90707 | 0% | 102 | $0.00 | |
| 99173 | 0% | 30 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 90696 | 0% | 154 | $0.00 | |
| 90716 | 0% | 104 | $0.00 | |
| 90647 | 0% | 2,028 | $0.00 | |
| 90723 | 0% | 1,627 | $0.00 | |
| 90680 | 0% | 957 | $0.00 | |
| 90698 | 0% | 12 | $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 officialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.