Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

MCLAREN NORTHERN MICHIGAN

General Acute Care Hospital·PETOSKEY, MI·NPI: 1992812580Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.5M

$20,504,667

Total Claims

757K

Beneficiaries

635K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+2%
2019
$2.8M
-7%
2020
$2.6M
+26%
2021
$3.3M
-7%
2022
$3.1M
+6%
2023
$3.2M
-15%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 16% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.4M

28K claims · 16.4%

Your Cost: $122.11/claim|Median: $42.48
2.9× median
99284Top 10%

Emergency dept visit, high complexity

$2.6M

13K claims · 12.5%

Your Cost: $190.34/claim|Median: $69.51
2.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.4M

6,594 claims · 11.6%

Your Cost: $361.11/claim|Median: $85.65
4.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.2M

12K claims · 5.7%

Your Cost: $93.88/claim|Median: $21.76
4.3× median
99282Normal range

Emergency dept visit, low complexity

$1.1M

16K claims · 5.4%

Your Cost: $68.09/claim|Median: $37.72
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$677K

4,969 claims · 3.3%

Your Cost: $136.18/claim|Median: $65.76
2.1× median
45380Top 25%

Colonoscopy with biopsy

$597K

1,183 claims · 2.9%

Your Cost: $504.90/claim|Median: $200.68
2.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$514K

1,124 claims · 2.5%

Your Cost: $457.59/claim|Median: $233.73
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$486K

24K claims · 2.4%

Your Cost: $19.90/claim|Median: $24.49
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$435K

2,151 claims · 2.1%

Your Cost: $202.39/claim|Median: $54.68
3.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$412K

1,212 claims · 2.0%

Your Cost: $339.60/claim|Median: $151.68
2.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$411K

4,604 claims · 2.0%

Your Cost: $89.17/claim|Median: $54.77
1.6× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$349K

3,567 claims · 1.7%

Your Cost: $97.84/claim|Median: $61.57
1.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$325K

2,128 claims · 1.6%

Your Cost: $152.53/claim|Median: $75.28
2.0× median
70450Top 25%

CT head/brain without contrast

$317K

3,581 claims · 1.5%

Your Cost: $88.42/claim|Median: $45.53
1.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$256K

11K claims · 1.2%

Your Cost: $23.30/claim|Median: $14.92
1.6× median
80061Top 5%

Lipid panel

$248K

8,998 claims · 1.2%

Your Cost: $27.60/claim|Median: $8.41
3.3× median
71046Top 10%

Chest X-ray, 2 views

$238K

7,092 claims · 1.2%

Your Cost: $33.54/claim|Median: $8.92
3.8× median
96361Normal range

IV infusion, hydration, each additional hour

$236K

11K claims · 1.2%

Your Cost: $21.54/claim|Median: $38.92
0.6× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$234K

104 claims · 1.1%

Your Cost: $2,249.62/claim|Median: $331.68
6.8× median
70553Normal range

MRI brain without contrast, then with contrast

$199K

948 claims · 1.0%

Your Cost: $209.42/claim|Median: $133.68
1.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$198K

2,648 claims · 1.0%

Your Cost: $74.87/claim|Median: $100.62
0.7× median
G0463Normal range

Hospital outpatient clinic visit

$195K

4,881 claims · 0.9%

Your Cost: $39.86/claim|Median: $26.41
1.5× median
71260Top 25%

CT chest with contrast

$187K

1,509 claims · 0.9%

Your Cost: $124.13/claim|Median: $48.36
2.6× median
97530Normal range

Therapeutic activities, each 15 min

$182K

8,340 claims · 0.9%

Your Cost: $21.86/claim|Median: $33.11
0.7× median
92507Normal range

Speech/hearing/language treatment

$172K

4,634 claims · 0.8%

Your Cost: $37.13/claim|Median: $49.45
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$161K

1,495 claims · 0.8%

Your Cost: $107.66/claim|Median: $60.19
1.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$157K

448 claims · 0.8%

Your Cost: $351.08/claim|Median: $106.14
3.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$147K

3,093 claims · 0.7%

Your Cost: $47.53/claim|Median: $39.33
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$134K

9,768 claims · 0.7%

Your Cost: $13.76/claim|Median: $16.79
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$130K

5,772 claims · 0.6%

Your Cost: $22.49/claim|Median: $39.70
0.6× median
71045Top 10%

Chest X-ray, single view

$125K

3,634 claims · 0.6%

Your Cost: $34.33/claim|Median: $4.93
7.0× median
99291Top 5%

Critical care, first 30-74 minutes

$123K

242 claims · 0.6%

Your Cost: $509.17/claim|Median: $101.24
5.0× median
G0378Normal range

Hospital observation service, per hour

$121K

3,511 claims · 0.6%

Your Cost: $34.56/claim|Median: $99.39
0.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$95K

230 claims · 0.5%

Your Cost: $413.01/claim|Median: $255.17
1.6× median
69436Normal range

Tympanostomy, general anesthesia

$89K

186 claims · 0.4%

Your Cost: $478.80/claim|Median: $205.50
2.3× median
97161Normal range

Physical therapy evaluation, low complexity

$81K

1,668 claims · 0.4%

Your Cost: $48.85/claim|Median: $47.89
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$80K

2,564 claims · 0.4%

Your Cost: $31.10/claim|Median: $63.08
0.5× median
76705Normal range

Ultrasound, abdominal, limited

$75K

1,421 claims · 0.4%

Your Cost: $52.68/claim|Median: $23.81
2.2× median
72148Normal range

MRI lumbar spine without contrast

$65K

674 claims · 0.3%

Your Cost: $97.00/claim|Median: $101.03
1.0× median
71275Normal range

CT angiography, chest, with contrast

$61K

796 claims · 0.3%

Your Cost: $76.60/claim|Median: $92.96
0.8× median
94060Top 10%

$60K

490 claims · 0.3%

Your Cost: $121.60/claim|Median: $25.18
4.8× median
S4005Normal range

$50K

464 claims · 0.2%

Your Cost: $108.53/claim|Median: $106.47
1.0× median
80053Normal range

Comprehensive metabolic panel

$44K

41K claims · 0.2%

Your Cost: $1.07/claim|Median: $7.24
0.1× median
73721Normal range

MRI joint of lower extremity without contrast

$42K

336 claims · 0.2%

Your Cost: $124.06/claim|Median: $127.34
1.0× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$38K

353 claims · 0.2%

Your Cost: $108.33/claim|Median: $79.28
1.4× median
78815Top 25%

PET imaging for limited area

$38K

48 claims · 0.2%

Your Cost: $787.95/claim|Median: $325.10
2.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$38K

14K claims · 0.2%

Your Cost: $2.79/claim|Median: $9.87
0.3× median
97162Normal range

PT evaluation, moderate complexity

$35K

771 claims · 0.2%

Your Cost: $45.00/claim|Median: $46.10
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$35K

44K claims · 0.2%

Your Cost: $0.78/claim|Median: $4.71
0.2× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Michigan →How we detect fraud →