Behavioral
Mymichigan Medical Center Alpena
Mymichigan Medical Center Alpena was paid $2.89M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoMYMICHIGAN MEDICAL CENTER ALPENA
ALPENA, MI 49707
ALPENA, MI 49707
33aNPI1942302302assigned 09/05/2006
33bProvider typeClinical Social Worker
28Total paid$2.89M
24GClaims82,155
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Michigan
Rank by total paid#19 of 411
Median peer was paid$49K
This provider vs. median59×
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 | 6,927 | $194K | |
| 2019 | 6,682 | $156K | |
| 2020 | 5,538 | $133K | |
| 2021 | 8,934 | $307K | |
| 2022 | 14,928 | $551K | |
| 2023 | 19,066 | $729K | |
| 2024incomplete | 20,080 | $820K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 16,835 | 15,530 | $862K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 17,521 | 16,311 | $620K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.3% | 5,164 | 3,753 | $239K |
| 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 | 7.3% | 2,876 | 2,849 | $211K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.8% | 2,216 | 2,007 | $166K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 2,430 | 2,398 | $110K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.9% | 967 | 940 | $82K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.4% | 1,837 | 1,824 | $69K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 1,640 | 1,312 | $66K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 14,499 | 12,705 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 815 | 814 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 998 | 989 | $49K |
50 more codes
| 99205 | Prolong outpt/office vis | 1.1% | 343 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 443 | $31K |
| 59426 | <1% | 33 | $26K | |
| Q3014 | Telehealth originating site facility fee | <1% | 2,319 | $20K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 652 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 721 | $15K |
| 59025 | Fetal non-stress test | <1% | 831 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,366 | $12K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 184 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 248 | $12K |
| 99442 | <1% | 295 | $11K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 306 | $9K |
| 59430 | <1% | 41 | $7K | |
| 0012A | <1% | 184 | $7K | |
| 94726 | <1% | 896 | $6K | |
| 99460 | <1% | 102 | $6K | |
| 0011A | <1% | 193 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 65 | $4K |
| 94060 | <1% | 784 | $4K | |
| 94729 | <1% | 893 | $4K | |
| 93016 | <1% | 340 | $4K | |
| 93018 | <1% | 456 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 82 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 38 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 181 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 218 | $985.48 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $918.57 |
| 94618 | <1% | 73 | $860.43 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $841.07 |
| 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) | <1% | 281 | $831.43 |
| 95811 | <1% | 12 | $770.00 | |
| 0001A | <1% | 19 | $719.15 | |
| 99443 | <1% | 12 | $661.31 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 81 | $548.42 |
| 99188 | <1% | 83 | $492.76 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $477.32 |
| 93227 | <1% | 54 | $470.05 | |
| 97597 | <1% | 19 | $315.36 | |
| 93925 | <1% | 13 | $282.63 | |
| 93000 | <1% | 26 | $242.97 | |
| 92551 | <1% | 120 | $168.98 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $81.57 |
| 90656 | <1% | 18 | $38.00 | |
| 96161 | <1% | 493 | $35.54 | |
| 93325 | <1% | 13 | $23.32 | |
| 91301 | 0% | 235 | $0.00 | |
| 99173 | 0% | 129 | $0.00 | |
| 0502F | 0% | 325 | $0.00 | |
| 91300 | 0% | 20 | $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)
Parent organizationMYMICHIGAN HEALTH
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.