Medicaid Provider Spending

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

MYMICHIGAN MEDICAL CENTER ALPENA

NPI: 1942302302 · ALPENA, MI 49707 · Clinical Social Worker · NPI assigned 09/05/2006

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

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

$2.89M
Total Medicaid Paid
82,155
Total Claims
74,398
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, SARAH (MANAGER, PROVIDER ENROLLMENT)
Parent OrganizationMYMICHIGAN HEALTH
NPI Enumeration Date09/05/2006

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 MIDLAND MIDLAND MI $2.15M
MYMICHIGAN MEDICAL GROUP MIDLAND MI $2.08M
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 6,927 $194K
2019 6,682 $156K
2020 5,538 $133K
2021 8,934 $307K
2022 14,928 $551K
2023 19,066 $729K
2024 20,080 $820K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,835 15,530 $862K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,521 16,311 $620K
90834 Psychotherapy, 45 minutes with patient 5,164 3,753 $239K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,876 2,849 $211K
99215 Prolong outpt/office vis 2,216 2,007 $166K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,430 2,398 $110K
90791 Psychiatric diagnostic evaluation 967 940 $82K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,837 1,824 $69K
90832 Psychotherapy, 30 minutes with patient 1,640 1,312 $66K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,499 12,705 $64K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 815 814 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 998 989 $49K
99205 Prolong outpt/office vis 343 339 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 443 442 $31K
59426 33 33 $26K
Q3014 Telehealth originating site facility fee 2,319 2,036 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 652 328 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 721 685 $15K
59025 Fetal non-stress test 831 387 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,366 1,365 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 184 184 $12K
99238 Hospital discharge day management, 30 minutes or less 248 243 $12K
99442 295 280 $11K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 14 14 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 306 304 $9K
59430 41 41 $7K
0012A 184 184 $7K
94726 896 894 $6K
99460 102 102 $6K
0011A 193 193 $5K
90792 Psychiatric diagnostic evaluation with medical services 65 47 $4K
94060 784 782 $4K
94729 893 891 $4K
93016 340 337 $4K
93018 456 450 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 82 81 $3K
90837 Psychotherapy, 53 minutes with patient 38 33 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 181 181 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 218 213 $985.48
99222 Initial hospital care, per day, moderate complexity 14 14 $918.57
94618 73 72 $860.43
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 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) 281 255 $831.43
95811 12 12 $770.00
0001A 19 19 $719.15
99443 12 12 $661.31
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 81 78 $548.42
99188 83 83 $492.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 65 34 $477.32
93227 54 54 $470.05
97597 19 13 $315.36
93925 13 13 $282.63
93000 26 25 $242.97
92551 120 120 $168.98
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $81.57
90656 18 18 $38.00
96161 493 492 $35.54
93325 13 13 $23.32
91301 235 221 $0.00
99173 129 129 $0.00
0502F 325 184 $0.00
91300 20 12 $0.00