Behavioral
Mclaren Bay Region
Mclaren Bay Region was paid $937K by Medicaid between Jan 2018 and Feb 2023, across 18 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 32% of everything it billed.
33Billing provider infoMCLAREN BAY REGION
BAY CITY, MI 48708
BAY CITY, MI 48708
33aNPI1942560339assigned 05/21/2012
33bProvider typePsychologist
28Total paid$937K
24GClaims12,603
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Psychologist providers in Michigan
Rank by total paid#24 of 105
Median peer was paid$113K
This provider vs. median8.3×
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 JACKS PORTER, DANIELLE controls 11+ 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 | 6,524 | $504K | |
| 2019 | 4,319 | $361K | |
| 2020 | 601 | $10K | |
| 2021 | 893 | $37K | |
| 2022 | 230 | $21K | |
| 2023 | 36 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 32% | 2,490 | 1,255 | $302K |
| T1016 | Case management, each 15 minutes | 26% | 2,131 | 1,825 | $245K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 2,376 | 1,469 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 1,808 | 1,648 | $71K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.9% | 651 | 456 | $55K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.1% | 539 | 491 | $48K |
| H0032 | Mental health service plan development by non-physician | 3.1% | 506 | 494 | $29K |
| 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 | 1.2% | 188 | 176 | $11K |
| H0031 | Mental health assessment, by non-physician | <1% | 92 | 92 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 100 | 25 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 178 | 171 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 590 | 171 | $5K |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 226 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 283 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 239 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 157 | $3K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 31 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $272.26 |
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 officialJACKS PORTER, DANIELLE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mclaren Bay Region | Bay City, MI | $31.72M |
| Mclaren Bay Region | Bay City, MI | $9.34M |
| Mclaren Bay Region | Essexville, MI | $288K |
| Mclaren Primary Care | West Branch, MI | $250K |
| Mclaren Primary Care | Saint Helen, MI | $115K |
| Mclaren Bay Region | Saginaw, MI | $101K |
| Mclaren Primary Care | Alger, MI | $99K |
| Mclaren Primary Care | Mio, MI | $67K |
| Mclaren Primary Care | Rose City, MI | $42K |
| Mclaren Bay Region | Bay City, MI | $40K |
| Mclaren Primary Care | West Branch, MI | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.