Physician
Munson Healthcare Otsego Memorial Hospital
Munson Healthcare Otsego Memorial Hospital was paid $274K by Medicaid between Jan 2018 and Apr 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoMUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
ELMIRA, MI 49730
ELMIRA, MI 49730
33aNPI1992146807assigned 07/09/2013
33bProvider typeGeneral Practice Physician
28Total paid$274K
24GClaims9,459
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other General Practice Physician providers in Michigan
Rank by total paid#31 of 91
Median peer was paid$81K
This provider vs. median3.4×
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.
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 | 4,042 | $120K | |
| 2019 | 4,150 | $123K | |
| 2020 | 1,267 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 77% | 4,460 | 4,022 | $211K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,220 | 2,964 | $45K |
| 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 | 3.1% | 422 | 408 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 330 | 327 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 496 | 487 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 385 | 190 | $2K |
| 81002 | <1% | 134 | 131 | $141.12 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $45.96 |
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 officialMAITLAND, ALICIA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.